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Montana rates for HCPCS 50706

Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $380.19 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $346.74 / $1,584.89