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Montana rates for HCPCS 51580

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,384.19 / $9,961.79 / $9,961.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,956.05 / $2,956.05 / $2,956.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.15 / $2,956.05 / $3,168.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.18 / $3,552.25 / $3,629.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.31 / $2,682.74 / $3,869.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.15 / $3,285.61 / $5,144.85