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Montana rates for HCPCS 54680

Transplantation Testis To Thigh

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.85 / $4,150.03 / $4,150.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.68 / $1,236.68 / $1,236.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.20 / $1,236.68 / $1,314.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.79 / $1,453.40 / $1,494.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.99 / $1,119.09 / $1,614.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.35 / $1,365.00 / $2,149.69