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Montana rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.21 / $1,171.90 / $5,893.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.42 / $1,771.42 / $1,771.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.42 / $1,771.42 / $1,771.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.21 / $1,771.42 / $1,874.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.86 / $2,004.60 / $2,111.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.26 / $1,616.05 / $2,331.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.84 / $1,929.30 / $3,104.28