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Montana rates for HCPCS 52287

Cystourethroscopy Inj Chemodenervation Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $2,046.60 / $3,110.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.09 / $324.76 / $1,311.00
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
$262.37 / $262.37 / $610.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.37 / $262.37 / $262.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $283.43 / $610.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.18 / $262.37 / $354.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.45 / $381.41 / $635.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.69 / $590.84 / $1,079.46