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Montana rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.23 / $1,858.39 / $2,276.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.41 / $548.41 / $548.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.20 / $595.39 / $714.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.71 / $803.40 / $826.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.26 / $552.67 / $764.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.36 / $731.60 / $1,177.51