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Montana rates for HCPCS 58565

Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.74 / $2,354.15 / $9,848.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.71 / $727.71 / $727.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.11 / $727.71 / $3,065.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.57 / $3,277.95 / $3,574.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.13 / $1,608.40 / $3,065.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.92 / $3,099.01 / $4,694.38