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Montana rates for HCPCS 55120

Removal of foreign body in scrotum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.38 / $1,870.74 / $1,870.74
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
$563.66 / $563.66 / $563.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.56 / $563.66 / $596.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.08 / $657.15 / $679.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.76 / $505.20 / $728.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.62 / $611.40 / $974.02