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Montana rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,508.00 / $6,321.75 / $9,509.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.61 / $1,649.51 / $6,461.90
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
$386.46 / $386.46 / $3,295.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.46 / $386.46 / $386.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.46 / $566.29 / $3,294.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.54 / $3,052.40 / $3,284.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.11 / $2,049.19 / $3,577.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.66 / $3,280.99 / $5,961.62