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Montana rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.81 / $1,315.37 / $1,315.37
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
$403.29 / $403.29 / $403.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.83 / $403.29 / $403.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.82 / $434.85 / $457.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.54 / $368.34 / $531.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $428.16 / $705.78