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Montana rates for HCPCS 52320

Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,725.60 / $10,725.60 / $10,725.60
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
$381.21 / $381.21 / $381.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.09 / $464.10 / $473.11