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Montana rates for HCPCS 52315

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.64 / $431.54 / $728.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.37 / $425.37 / $425.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.37 / $460.36 / $740.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.85 / $802.75 / $823.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.64 / $494.21 / $760.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.16 / $790.40 / $1,299.64