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Montana rates for HCPCS 54865

Exploration of epididymis, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $630.96 / $741.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $630.96 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $537.03 / $691.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $891.25