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Montana rates for HCPCS 50323

Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision of adrenal gland, and preparation of ureter(s), renal vein(s), and renal artery(s), ligating branches, as necessary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.51 / $267.51 / $267.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,156.83 / $2,156.83 / $2,156.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.98 / $345.98 / $345.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.98 / $345.98 / $345.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.98 / $345.98 / $345.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.28 / $298.94 / $431.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.52 / $326.36 / $571.15