go back

Montana rates for HCPCS 58340

Cath & Saline/Contrast Sonohyster/Hysterosalpi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.20 / $539.60 / $1,016.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $131.58 / $394.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.96 / $90.96 / $381.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.96 / $179.84 / $346.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.02 / $135.16 / $381.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.86 / $179.84 / $246.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.08 / $199.31 / $548.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.80 / $287.57 / $353.93