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Montana rates for HCPCS 50815

Ureterocolon conduit, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.15 / $6,437.80 / $6,437.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.02 / $1,916.02 / $1,916.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.70 / $1,916.02 / $2,042.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.39 / $2,276.94 / $2,333.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.83 / $1,735.43 / $2,503.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.53 / $2,085.07 / $3,331.85