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Montana rates for HCPCS 52355

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor

Insurance Carrier
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
$723.50 / $723.50 / $723.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.03 / $878.15 / $896.25