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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
$575.44 / $741.31 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $977.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,202.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,000.00 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $588.84 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,445.44