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Montana rates for HCPCS 50974

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

Facilitymedian $794 · 10th–90th $794–$9770%50%90th$794Professionalmedian $676 · 10th–90th $468–$1,5850%10%20%10th90th$676$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $724.44 / $794.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $812.83 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $812.83 / $977.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $691.83 / $912.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $549.54 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $812.83 / $1,288.25