go back

Montana rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

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