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Montana rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.79 / $744.71 / $926.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.89 / $221.89 / $221.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.99 / $238.04 / $291.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.61 / $324.35 / $335.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.41 / $222.15 / $306.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.50 / $301.80 / $484.70