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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
$66.07 / $100.00 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $117.49 / $128.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $131.83 / $144.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $131.83 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $114.82 / $138.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $190.55