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Montana rates for HCPCS 52276

Cystourethroscopy W/Internal Urethrotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,193.94 / $2,193.94 / $5,036.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.36 / $285.69 / $1,384.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.60 / $409.60 / $409.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.60 / $409.60 / $409.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.75 / $409.60 / $443.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.79 / $499.85 / $509.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.80 / $371.74 / $536.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.19 / $449.58 / $713.17