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Montana rates for HCPCS 50433

Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,553.96 / $3,553.96 / $3,553.96
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
$389.09 / $389.09 / $389.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.02 / $389.09 / $1,050.57