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Montana rates for HCPCS 52354

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $707.95 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $616.60 / $794.33