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Montana rates for HCPCS 52000

Cystourethroscopy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.86 / $1,335.11 / $1,571.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.77 / $233.40 / $613.79
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$50.76 / $211.48 / $566.03
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.30 / $84.59 / $226.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.14 / $125.14 / $378.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.14 / $125.14 / $125.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.14 / $211.27 / $378.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.18 / $379.60 / $395.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $236.48 / $394.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.52 / $266.52 / $1,334.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $359.41 / $666.93