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Montana rates for HCPCS 52260

Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $354.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $302.00 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $213.80 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $354.81 / $524.81