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Montana rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.81 / $1,372.83 / $1,910.27
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
$1,967.02 / $1,967.02 / $1,967.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.02 / $1,967.02 / $1,967.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.92 / $1,967.02 / $2,056.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.15 / $2,209.35 / $2,324.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.24 / $1,797.55 / $2,592.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.49 / $2,138.75 / $3,451.17