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Montana rates for HCPCS 54865

Exploration Epididymis W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.35 / $1,897.43 / $1,897.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.02 / $571.02 / $571.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.23 / $571.02 / $597.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.95 / $661.70 / $684.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.29 / $511.99 / $738.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.19 / $619.80 / $988.81