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Montana rates for HCPCS 58410

Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.25 / $4,262.68 / $4,262.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.47 / $1,293.47 / $1,293.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.62 / $1,293.47 / $1,327.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.71 / $1,415.70 / $1,493.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.08 / $1,180.73 / $1,703.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.25 / $1,393.92 / $2,268.09