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Montana rates for HCPCS 52353

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.28 / $10,100.90 / $13,770.73
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
$606.77 / $606.77 / $606.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.67 / $796.25 / $812.76