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Montana rates for HCPCS 50557

Renal Ndsc Nephros/Pyelostomy Fulg&/Inc W/Wo Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $1,813.12 / $2,218.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.26 / $535.26 / $535.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.79 / $580.25 / $697.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.18 / $785.85 / $808.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.85 / $539.74 / $746.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.59 / $724.80 / $1,147.92