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Montana rates for HCPCS 50070

Nephrolithotomy; complicated by congenital kidney abnormality

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,862.09 / $1,995.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $2,238.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,202.26 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $2,951.21