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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
$2,570.40 / $3,715.35 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $588.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $616.60 / $741.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $524.81 / $707.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $363.08 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $870.96