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Montana rates for HCPCS 52402

Cystourethroscopy with transurethral resection or incision of ejaculatory ducts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.06 / $1,395.50 / $1,395.50
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
$410.65 / $410.65 / $410.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.85 / $410.65 / $446.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.78 / $504.40 / $512.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.42 / $374.17 / $539.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.75 / $462.00 / $718.71