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Montana rates for HCPCS 58570

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,296.00 / $8,279.54 / $10,533.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.84 / $1,280.84 / $1,280.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.36 / $1,625.65 / $1,718.50