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Montana rates for HCPCS 56805

Clitoroplasty for intersex state

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.25 / $1,221.36 / $6,076.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.08 / $1,846.08 / $1,846.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.62 / $1,846.08 / $1,890.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.81 / $2,026.70 / $2,129.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.81 / $1,687.39 / $2,433.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.18 / $1,995.52 / $3,237.49