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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
$323.59 / $436.52 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $741.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $645.65 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $501.19 / $645.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $389.05 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $912.01