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Montana rates for HCPCS 51800

Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.25 / $1,305.92 / $5,481.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.72 / $1,624.72 / $1,624.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.63 / $1,624.72 / $1,743.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.48 / $1,944.80 / $1,996.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.53 / $1,470.94 / $2,121.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.92 / $1,777.08 / $2,826.79