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Montana rates for HCPCS 58558

Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.40 / $5,466.60 / $9,543.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.76 / $368.93 / $3,645.00
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$47.86 / $242.96 / $1,516.65
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
$363.85 / $363.85 / $2,079.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.85 / $363.85 / $363.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.88 / $442.32 / $2,079.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.98 / $664.76 / $965.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.34 / $654.16 / $2,241.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.32 / $2,059.71 / $2,772.71