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Montana rates for HCPCS 52275

Cystourethroscopy, with internal urethrotomy; male

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.43 / $530.49 / $1,300.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.89 / $384.89 / $384.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $416.71 / $848.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.63 / $981.50 / $1,002.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.36 / $531.19 / $885.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.35 / $903.00 / $1,496.63