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Montana rates for HCPCS 49322

Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
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
$588.84 / $588.84 / $588.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $776.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $524.81 / $912.01