go back

Montana rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
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
$3,060.68 / $3,060.68 / $3,060.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.22 / $1,880.28 / $3,060.68