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Montana rates for HCPCS 50386

Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.75 / $930.91 / $1,224.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.86 / $251.86 / $1,409.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.86 / $251.86 / $251.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.86 / $296.82 / $1,228.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.29 / $1,405.30 / $1,516.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.38 / $725.39 / $1,245.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.72 / $1,253.96 / $2,088.64