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Montana rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $420.47 / $588.22
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
$220.31 / $220.31 / $594.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.31 / $220.31 / $220.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.31 / $238.04 / $607.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.97 / $770.25 / $788.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.71 / $362.78 / $621.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.79 / $658.20 / $1,049.86