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Montana rates for HCPCS 58120

Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.60 / $1,479.60 / $3,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.90 / $259.75 / $550.14
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
$371.21 / $371.21 / $474.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.21 / $371.21 / $371.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.11 / $371.21 / $474.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.62 / $440.05 / $471.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.30 / $371.21 / $518.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.75 / $468.63 / $830.66