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Montana rates for HCPCS 50782

Ureteroneocystostomy; anastomosis of duplicated ureter to bladder

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.93 / $5,653.45 / $5,653.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.98 / $1,680.98 / $1,680.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.84 / $1,680.98 / $1,873.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.38 / $2,091.05 / $2,163.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.82 / $1,522.39 / $2,195.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.08 / $1,865.86 / $2,923.91