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Montana rates for HCPCS 51535

Cystotomy Excise/Incise/Repair Ureterocele

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.25 / $982.30 / $4,110.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.06 / $1,224.06 / $1,224.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.20 / $1,224.06 / $1,301.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.86 / $1,436.50 / $1,476.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.90 / $1,106.97 / $1,596.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.09 / $1,352.40 / $2,128.41