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Montana rates for HCPCS 58100

Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.10 / $435.38 / $435.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.76 / $112.70 / $420.59
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$33.17 / $153.90 / $257.83
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$13.27 / $42.15 / $103.14
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
$99.38 / $99.38 / $160.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $99.38 / $99.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.38 / $144.91 / $179.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.99 / $191.10 / $203.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.89 / $107.60 / $179.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.60 / $170.53 / $283.04