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Montana rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $575.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $446.68 / $645.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $446.68 / $645.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $316.23 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $239.88 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $741.31