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Montana rates for HCPCS 50040

Nephrostomy Nephrotomy W/Drainage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.00 / $4,852.66 / $4,852.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.68 / $1,450.68 / $1,450.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.94 / $1,450.68 / $1,548.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.72 / $1,723.80 / $1,767.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.74 / $1,312.25 / $1,892.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.52 / $1,597.81 / $2,521.56