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Montana rates for HCPCS 50080

Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.14 / $1,093.14 / $1,093.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.75 / $1,626.95 / $1,666.01