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Montana rates for HCPCS 58294

Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.40 / $6,388.59 / $6,388.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.95 / $1,924.95 / $1,924.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.21 / $1,924.95 / $2,010.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.76 / $2,154.10 / $2,268.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.01 / $1,759.70 / $2,538.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.14 / $2,120.96 / $3,378.09