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Montana rates for HCPCS 54861

Epididymectomy; bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $592.65 / $2,994.82
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
$897.54 / $897.54 / $897.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.20 / $897.54 / $944.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.14 / $1,049.75 / $1,080.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.27 / $809.00 / $1,166.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.76 / $982.80 / $1,554.91