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Montana rates for HCPCS 57455

Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $5,005.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.64 / $146.49 / $429.30
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
$170.89 / $170.89 / $257.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.46 / $184.49 / $257.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.53 / $248.95 / $265.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.51 / $173.08 / $260.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.68 / $198.68 / $198.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.80 / $257.52 / $448.62