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Montana rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.85 / $2,984.85 / $17,256.59
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
$1,758.28 / $1,758.28 / $1,758.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.56 / $2,391.35 / $2,445.88