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Montana rates for HCPCS 57023

I&D Vaginal Hematoma Non-Obstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.30 / $2,211.30 / $2,211.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $1,660.33 / $1,660.33
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
$508.45 / $508.45 / $508.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.45 / $508.45 / $508.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.20 / $508.45 / $514.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.97 / $548.60 / $578.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.94 / $463.46 / $668.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.52 / $540.44 / $888.93