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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
$467.74 / $616.60 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $776.25
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 / $676.08 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $478.63 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,174.90