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Montana rates for HCPCS 58140

Myomectomy 1-4 Myomas W/250 Gm/< Abdominal Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.63 / $916.11 / $2,315.48
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
$1,460.67 / $1,460.67 / $1,460.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.67 / $1,460.67 / $1,460.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.23 / $1,460.67 / $1,528.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.55 / $1,613.95 / $1,703.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.30 / $1,350.59 / $1,948.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.32 / $1,589.11 / $2,593.69