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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
$2,292.79 / $9,570.81 / $9,570.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.86 / $2,829.86 / $2,829.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.98 / $2,829.86 / $3,044.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.38 / $3,410.55 / $3,484.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.11 / $2,577.42 / $3,717.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.97 / $3,159.61 / $4,940.43