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Montana rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,465.00 / $5,314.00 / $6,624.17
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
$510.03 / $510.03 / $510.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.20 / $598.00 / $616.05