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Montana rates for HCPCS 50561

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $812.83 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $630.96 / $891.25