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Montana rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.17 / $5,798.86 / $5,798.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.05 / $1,723.05 / $1,723.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.42 / $1,723.05 / $1,857.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.78 / $2,026.05 / $2,143.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.73 / $1,559.75 / $2,249.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.67 / $1,911.00 / $2,997.91