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Montana rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.81 / $6,353.98 / $6,353.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.10 / $1,887.10 / $1,887.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.06 / $1,887.10 / $2,020.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.90 / $2,239.25 / $2,295.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.33 / $1,710.68 / $2,467.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.95 / $2,094.60 / $3,284.66