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Montana rates for HCPCS 51575

Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $3,019.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,467.37
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,630.27 / $3,467.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,090.30 / $4,570.88