go back

Montana rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $380.19 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $645.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $616.60 / $691.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $616.60 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $331.13 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $257.04 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $512.86 / $741.31