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Montana rates for HCPCS 55040

Excision of hydrocele; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $588.84 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $501.19 / $645.65