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Montana rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.19 / $4,970.59 / $4,970.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.02 / $1,478.02 / $1,478.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.08 / $1,478.02 / $1,579.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.39 / $1,764.75 / $1,807.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.89 / $1,337.97 / $1,929.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.65 / $1,637.41 / $2,570.58