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Montana rates for HCPCS 55250

Vasectomy Uni/Bi Spx W/Postop Semen Exams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.80 / $4,345.81 / $4,932.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.84 / $452.85 / $1,838.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.38 / $364.38 / $530.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.38 / $364.38 / $364.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.38 / $378.88 / $633.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.82 / $764.40 / $796.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.84 / $364.38 / $629.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.86 / $407.86 / $4,097.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.63 / $639.83 / $925.92