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Montana rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.21 / $1,870.21 / $5,335.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.23 / $337.98 / $1,223.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.54 / $469.54 / $469.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.54 / $469.54 / $469.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.49 / $469.54 / $507.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.23 / $589.54 / $602.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $425.12 / $613.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.92 / $540.02 / $815.86