go back

Montana rates for HCPCS 57500

Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.00 / $1,757.00 / $1,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $138.40 / $545.00
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
$118.83 / $206.93 / $243.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.83 / $118.83 / $118.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.83 / $126.29 / $243.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.28 / $225.55 / $242.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.45 / $154.69 / $253.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.17 / $242.49 / $430.14