go back

Montana rates for HCPCS 50940

Deligation of ureter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.88 / $4,670.09 / $4,670.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.79 / $1,391.79 / $1,391.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.87 / $1,391.79 / $1,481.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.54 / $1,643.20 / $1,687.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.48 / $1,259.34 / $1,816.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.28 / $1,536.59 / $2,421.65