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Montana rates for HCPCS 58543

Laps Supracervical Hysterectomy >250

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.22 / $977.61 / $4,400.08
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
$1,336.06 / $1,336.06 / $1,336.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.00 / $1,336.06 / $1,371.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.62 / $1,717.95 / $1,815.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.63 / $1,219.07 / $1,758.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.41 / $1,047.41 / $20,822.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.72 / $1,510.32 / $2,342.09