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Montana rates for HCPCS 52334

Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde

Insurance Carrier
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
$283.41 / $283.41 / $283.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.05 / $482.30 / $493.35