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Montana rates for HCPCS 52325

Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)

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
$489.78 / $489.78 / $489.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $549.54 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $467.74 / $616.60