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Montana rates for HCPCS 55400

Vasovasostomy Vasovasorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,671.89 / $4,671.89 / $4,671.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.51 / $897.30 / $2,635.57
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
$789.23 / $789.23 / $789.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.92 / $789.23 / $831.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.90 / $932.75 / $957.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.60 / $710.48 / $1,024.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.86 / $850.78 / $1,367.14