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Montana rates for HCPCS 50387

Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.77 / $2,393.77 / $2,821.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.24 / $127.24 / $127.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $1,020.50 / $1,104.34