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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
$2,264.37 / $9,465.83 / $9,465.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.77 / $2,807.77 / $2,807.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.54 / $2,807.77 / $3,011.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.06 / $3,341.00 / $3,422.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.38 / $2,547.83 / $3,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.40 / $3,123.00 / $4,889.55