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Montana rates for HCPCS 50290

Excision of perinephric cyst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $1,513.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $1,698.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $912.01 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,238.72