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Montana rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $1,417.86 / $5,927.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.96 / $1,761.96 / $1,761.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.43 / $1,761.96 / $1,883.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.65 / $2,080.65 / $2,175.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.99 / $1,596.15 / $2,302.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.51 / $1,953.01 / $3,064.51