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Montana rates for HCPCS 51565

Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.57 / $1,381.57 / $6,826.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,013.29 / $2,013.29 / $2,013.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.81 / $2,013.29 / $2,174.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.68 / $2,397.19 / $2,463.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.33 / $1,826.18 / $2,634.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.88 / $2,255.40 / $3,504.83