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Montana rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.62 / $664.44 / $1,141.54
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
$408.02 / $408.02 / $408.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.02 / $441.74 / $948.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.19 / $1,250.45 / $1,296.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.43 / $593.29 / $988.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.43 / $1,016.95 / $1,673.32