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Montana rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $113.60 / $266.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.92 / $79.92 / $200.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.92 / $157.56 / $303.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $130.50 / $245.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.39 / $157.56 / $322.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.91 / $134.59 / $282.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.10 / $197.06 / $309.75