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Montana rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $407.38 / $501.19
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $407.38 / $501.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $346.74 / $467.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $245.47 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $588.84