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Montana rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.33 / $5,584.17 / $5,584.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.65 / $1,694.65 / $1,694.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.40 / $1,694.65 / $1,746.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.46 / $1,862.90 / $1,962.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.64 / $1,547.62 / $2,232.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.66 / $1,834.24 / $2,971.10