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Montana rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,454.71 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,445.44 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $1,778.28