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Montana rates for HCPCS 51585

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,653.61 / $11,084.60 / $11,084.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,285.72 / $3,285.72 / $3,285.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.71 / $3,285.72 / $3,528.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.18 / $3,956.55 / $4,041.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.85 / $2,985.08 / $4,305.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,104.37 / $3,596.64 / $5,722.04