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Montana rates for HCPCS 54660

Insertion of testicular prosthesis (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.69 / $367.69 / $1,889.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.39 / $568.39 / $568.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.06 / $568.39 / $595.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.92 / $658.45 / $680.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.00 / $510.05 / $735.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.63 / $617.40 / $983.27