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Montana rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $3,019.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,090.30 / $3,388.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,090.30 / $3,388.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $3,388.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,819.70 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,090.30 / $4,466.84