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Montana rates for HCPCS 32658

Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.10 / $3,655.67 / $3,655.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.33 / $1,117.33 / $1,117.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.33 / $1,117.33 / $1,117.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.44 / $1,117.33 / $1,211.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.11 / $1,301.30 / $1,357.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.64 / $1,021.07 / $1,472.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.03 / $1,236.01 / $1,953.60