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Montana rates for HCPCS 52345

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

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
$610.98 / $610.98 / $610.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.74 / $763.75 / $779.24