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Montana rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.51 / $960.81 / $1,417.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.84 / $1,453.84 / $1,453.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.78 / $1,453.84 / $1,500.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.45 / $1,599.65 / $1,687.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.77 / $1,327.30 / $1,914.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.10 / $1,575.03 / $2,545.61