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Montana rates for HCPCS 56700

Partial hymenectomy or revision of hymenal ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,264.79 / $3,264.79 / $3,264.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.19 / $322.77 / $4,842.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.37 / $323.37 / $323.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.37 / $323.37 / $323.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $323.37 / $323.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.61 / $327.60 / $348.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.36 / $294.58 / $424.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.95 / $329.44 / $567.03