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Montana rates for HCPCS 50553

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
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
$489.78 / $489.78 / $489.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $645.65 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $512.86 / $724.44