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Montana rates for HCPCS 50695

Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.12 / $522.12 / $522.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.64 / $522.12 / $1,244.54