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Montana rates for HCPCS 51020

Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.13 / $2,476.55 / $2,476.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.53 / $744.53 / $744.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.91 / $744.53 / $779.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.71 / $868.40 / $895.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.43 / $669.71 / $966.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.36 / $810.60 / $1,288.53