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Montana rates for HCPCS 55801

Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.90 / $5,762.91 / $5,762.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.16 / $1,715.16 / $1,715.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.99 / $1,715.16 / $1,825.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.18 / $2,030.60 / $2,082.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.88 / $1,552.47 / $2,239.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.13 / $1,897.20 / $2,984.04