go back

Montana rates for HCPCS 58152

Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.38 / $6,549.75 / $6,549.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.08 / $1,958.08 / $1,958.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.10 / $1,958.08 / $2,077.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.29 / $2,200.90 / $2,317.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.45 / $1,787.36 / $2,578.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.87 / $2,144.07 / $3,431.76