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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $794.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $812.83 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $478.63 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,174.90