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Montana rates for HCPCS 50974

Ureteral Endoscopy Via Ureterot W/O Imaging W/Bx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.61 / $2,475.51 / $2,475.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.91 / $731.91 / $731.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.45 / $731.91 / $792.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.64 / $893.10 / $909.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.20 / $664.86 / $959.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.74 / $818.40 / $1,274.66