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Montana rates for HCPCS 38573

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.13 / $1,857.13 / $1,857.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.43 / $1,145.54 / $1,857.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.66 / $1,465.66 / $20,822.43