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Montana rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,584.83 / $11,584.83 / $11,584.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.91 / $245.20 / $797.35
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
$238.19 / $238.19 / $569.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.19 / $238.19 / $238.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.19 / $314.86 / $569.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.49 / $442.00 / $501.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $345.59 / $598.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.70 / $537.08 / $1,014.72