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Montana rates for HCPCS 58670

Laparoscopy Fulguration Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,112.65 / $3,112.65 / $3,112.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $375.93 / $1,548.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.53 / $591.53 / $709.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.53 / $591.53 / $591.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.97 / $591.53 / $602.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.77 / $642.20 / $679.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.76 / $538.20 / $776.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.87 / $632.30 / $1,034.15