go back

Montana rates for HCPCS 58520

Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,318.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,548.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $831.76 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $1,995.26