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Montana rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.81 / $4,220.60 / $4,220.60
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
$1,257.19 / $1,257.19 / $1,257.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.87 / $1,257.19 / $1,350.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.40 / $1,420.90 / $1,460.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.96 / $1,137.06 / $1,640.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.85 / $1,387.80 / $2,185.76