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Montana rates for HCPCS 55540

Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $891.25 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $977.24 / $1,148.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $794.33 / $933.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $549.54 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,380.38