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Montana rates for HCPCS 58554

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,219.42 / $8,219.42 / $11,740.00
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
$2,064.29 / $2,064.29 / $2,064.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.96 / $2,316.60 / $2,442.08