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Montana rates for HCPCS 55040

Excision Hydrocele Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.83 / $4,392.83 / $4,888.32
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
$536.84 / $536.84 / $536.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.37 / $625.29 / $647.04