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Montana rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,258.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,584.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $776.25 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,348.96 / $1,862.09