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Montana rates for HCPCS 58552

Laparoscopy, surgical, with vaginal 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
$6,090.61 / $19,600.59 / $33,574.73
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
$1,553.21 / $1,553.21 / $1,553.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.59 / $1,727.05 / $1,820.97