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Montana rates for HCPCS 52356

Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,838.78 / $4,769.28 / $12,833.55
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,582.76 / $12,582.76 / $17,163.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $503.29 / $6,147.63
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
$643.58 / $643.58 / $643.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.58 / $643.58 / $643.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.02 / $643.58 / $696.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.26 / $397.82 / $643.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.49 / $584.29 / $842.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.34 / $706.81 / $1,120.16