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Montana rates for HCPCS Q2004

Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml

Facilitymedian $25 · 10th–90th $25–$320%50%10th90th$25Professionalmedian $100 · 10th–90th $25–$1020%50%10th90th$100$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $100.00 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $31.62 / $95.50
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $25.12 / $25.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $25.12 / $25.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $31.62 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $33.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33