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Montana rates for HCPCS 58611

Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $78.12 / $323.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.31 / $118.31 / $118.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.31 / $118.31 / $118.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.10 / $118.31 / $128.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.09 / $137.80 / $144.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $108.71 / $156.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.12 / $132.16 / $209.06