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Montana rates for HCPCS 52442

Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.22 / $507.22 / $507.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $967.23 / $1,408.13
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
$78.34 / $78.34 / $1,348.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.34 / $78.34 / $78.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $101.85 / $1,553.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $78.34 / $792.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $843.05 / $1,553.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.19 / $1,690.79 / $2,416.09