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Montana rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $368.56 / $581.97
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 / $591.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.53 / $591.53 / $591.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.27 / $591.53 / $601.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.77 / $641.54 / $679.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.11 / $537.23 / $774.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.49 / $629.54 / $1,034.15