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Montana rates for HCPCS 58563

Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,309.57 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $630.96 / $5,011.87
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
$389.05 / $389.05 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $3,311.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,630.27 / $3,801.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $2,630.27 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,995.26 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $398.11 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $3,890.45