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Montana rates for HCPCS 50562

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.88 / $3,041.34 / $3,041.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.07 / $898.07 / $898.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.94 / $898.07 / $971.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.82 / $1,096.55 / $1,118.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.83 / $814.33 / $1,174.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.38 / $1,003.80 / $1,563.24