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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
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,995.26 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $2,818.38