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Montana rates for HCPCS 50900

Ureterorrhaphy, suture of ureter (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.21 / $4,436.13 / $4,436.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.91 / $1,322.91 / $1,322.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.35 / $1,322.91 / $1,418.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.17 / $1,555.45 / $1,604.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.75 / $1,196.75 / $1,726.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.11 / $1,458.60 / $2,298.63