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Montana rates for HCPCS 50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $512.86 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$141.25 / $141.25 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $154.88 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $758.58 / $1,071.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $758.58 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $186.21 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $154.88 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $389.05 / $1,096.48