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Montana rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.62 / $491.62 / $491.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.58 / $724.75 / $746.35