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Montana rates for HCPCS 50800

Ureteroenterostomy Anast Ureter Intestine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.40 / $4,870.93 / $4,870.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.48 / $1,446.48 / $1,446.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.61 / $1,446.48 / $1,548.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.42 / $1,714.70 / $1,764.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.10 / $1,311.28 / $1,891.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.38 / $1,605.01 / $2,527.10