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Montana rates for HCPCS 50980

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.18 / $1,867.60 / $1,867.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.04 / $551.04 / $551.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.48 / $551.04 / $598.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.27 / $672.10 / $685.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.18 / $501.31 / $723.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.94 / $438.94 / $10,167.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.35 / $617.40 / $961.08