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Montana rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $199.53
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $199.53 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $173.78 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $288.40