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Montana rates for HCPCS 51600

Injection procedure for cystography or voiding urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $208.93 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $138.04 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $138.04 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $154.88 / $363.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $165.96 / $371.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $165.96 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $186.21 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $114.82 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $169.82 / $363.08