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Montana rates for HCPCS 50700

Ureteroplasty, plastic operation on ureter (eg, stricture)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.83 / $4,870.93 / $4,870.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,451.73 / $1,451.73 / $1,451.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.75 / $1,451.73 / $1,546.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.98 / $1,722.50 / $1,764.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.39 / $1,313.22 / $1,894.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.50 / $1,656.64 / $2,522.46