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Montana rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.30 / $1,575.30 / $1,575.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.39 / $1,752.40 / $1,845.00