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Montana rates for HCPCS 51570

Cystectomy, complete; (separate procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,818.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $2,818.38