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Montana rates for HCPCS 52010

Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $380.19 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $616.60 / $707.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $616.60 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $363.08 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $257.04 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $512.86 / $741.31