go back

Montana rates for HCPCS 50280

Excision or unroofing of cyst(s) of kidney

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.31 / $5,026.96 / $5,026.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.23 / $1,482.23 / $1,482.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.35 / $1,482.23 / $1,595.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.22 / $1,768.00 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.01 / $1,365.15 / $1,969.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.20 / $1,633.71 / $2,625.15