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Montana rates for HCPCS 50390

Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.67 / $1,135.67 / $1,135.67
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
$145.12 / $300.58 / $579.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.78 / $185.32 / $300.58