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Montana rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.19 / $1,205.53 / $2,171.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.37 / $1,821.37 / $1,821.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.37 / $1,821.37 / $1,821.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.52 / $1,821.37 / $1,899.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.90 / $2,035.15 / $2,142.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.96 / $1,663.61 / $2,399.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.81 / $2,003.84 / $3,194.03