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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
$723.53 / $853.61 / $3,039.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.15 / $1,185.15 / $1,185.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.11 / $1,185.15 / $1,268.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.46 / $1,421.55 / $1,454.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.58 / $1,073.48 / $1,548.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.36 / $1,314.00 / $2,060.91