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Montana rates for HCPCS 52005

Cysto Bladder W/Ureteral Catheterization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,043.33 / $5,243.40 / $6,083.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.59 / $205.99 / $468.43
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
$207.69 / $207.69 / $478.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.69 / $207.69 / $207.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.69 / $222.91 / $478.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.53 / $518.04 / $542.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $297.94 / $496.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.10 / $502.20 / $841.74