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Montana rates for HCPCS 58542

Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.56 / $2,392.56 / $2,442.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.55 / $1,315.55 / $1,315.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.10 / $1,689.35 / $1,784.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.28 / $1,032.28 / $20,822.43