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Montana rates for HCPCS 52290

Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $416.87 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $354.81 / $467.74