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Montana rates for HCPCS 50970

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.27 / $1,940.95 / $1,940.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.65 / $573.65 / $573.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.23 / $573.65 / $622.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.64 / $699.40 / $712.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.76 / $521.70 / $752.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.76 / $641.40 / $998.99