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Montana rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.56 / $655.59 / $1,192.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.79 / $270.79 / $270.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.79 / $294.49 / $1,173.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.90 / $1,074.45 / $1,177.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.76 / $722.57 / $1,240.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.06 / $1,227.78 / $2,083.10