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Montana rates for HCPCS 55200

Vasotomy Cannulization W/Wo Vas Inc Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.16 / $1,466.61 / $2,200.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.57 / $439.57 / $439.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.57 / $465.02 / $719.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.29 / $868.40 / $893.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.31 / $439.57 / $719.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.09 / $730.99 / $1,059.13