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Montana rates for HCPCS 52344

Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.18 / $1,282.18 / $7,891.39
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
$572.60 / $572.60 / $572.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.87 / $715.65 / $730.54