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Montana rates for HCPCS 55300

Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.69 / $192.81 / $979.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.72 / $289.72 / $289.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.06 / $280.37 / $435.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.85 / $282.61 / $395.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.01 / $291.70 / $457.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.70 / $307.22 / $355.75