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Montana rates for HCPCS 50250

Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.51 / $6,399.35 / $6,399.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.34 / $1,902.34 / $1,902.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.89 / $1,902.34 / $2,031.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.15 / $2,287.35 / $2,336.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.40 / $1,724.27 / $2,487.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.69 / $2,178.69 / $3,309.63