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Montana rates for HCPCS 52007

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.69 / $258.69 / $258.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.16 / $944.45 / $975.32