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Montana rates for HCPCS 50572

Rnl Ndsc Nfrot W/Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.53 / $2,782.87 / $2,782.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.83 / $821.83 / $821.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.99 / $821.83 / $890.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.59 / $1,005.55 / $1,024.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.87 / $746.88 / $1,077.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.97 / $920.39 / $1,430.96