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Montana rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

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