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Montana rates for HCPCS 57522

Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $478.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $457.09 / $562.34
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $562.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $363.08 / $467.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $346.74 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $707.95