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Montana rates for HCPCS 52441

Cysto Insertion Transprostatic Implant Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.46 / $1,014.46 / $1,014.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.03 / $1,254.43 / $1,651.28
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
$324.94 / $324.94 / $1,983.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.94 / $324.94 / $324.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.94 / $380.63 / $2,031.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.19 / $324.94 / $1,161.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.10 / $1,229.35 / $2,116.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.90 / $2,283.30 / $3,533.49