go back

Montana rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.75 / $2,134.75 / $2,134.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.78 / $2,306.85 / $2,433.23