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Montana rates for HCPCS 58292

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.10 / $6,884.75 / $6,884.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.69 / $2,072.69 / $2,072.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.31 / $2,072.69 / $2,169.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.54 / $2,328.30 / $2,449.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.61 / $1,894.13 / $2,732.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.82 / $2,292.48 / $3,637.08