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Montana rates for HCPCS 52310

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,881.38 / $2,881.38 / $2,881.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.34 / $275.94 / $791.42
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
$235.56 / $235.56 / $503.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.56 / $235.56 / $235.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.56 / $253.75 / $503.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.96 / $455.65 / $470.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.87 / $310.56 / $517.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.05 / $479.08 / $883.37