go back

Montana rates for HCPCS 50945

Laparoscopy, surgical; ureterolithotomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.28 / $1,148.31 / $5,109.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.93 / $1,516.93 / $1,516.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.43 / $1,516.93 / $1,626.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.73 / $1,818.70 / $1,860.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.45 / $1,376.31 / $1,985.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.98 / $1,684.21 / $2,639.94