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Montana rates for HCPCS 58210

Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), 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
$2,882.96 / $2,882.96 / $2,882.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.20 / $3,081.00 / $3,251.05