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Montana rates for HCPCS 58323

Sperm washing for artificial insemination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.05 / $431.05 / $431.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $18.10 / $22.81
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
$18.93 / $18.93 / $23.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $41.07 / $79.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $20.37 / $25.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $31.85 / $41.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $19.41 / $28.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $18.12 / $18.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $27.00 / $41.63