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Montana rates for HCPCS 52352

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.18 / $3,740.40 / $9,954.75
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,230.19 / $2,230.19 / $2,230.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.03 / $421.07 / $1,856.69
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
$548.41 / $548.41 / $548.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.41 / $548.41 / $548.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.37 / $548.41 / $594.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.50 / $692.90 / $707.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.59 / $497.43 / $717.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.81 / $613.80 / $955.51