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Montana rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.01 / $4,174.72 / $4,174.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.08 / $1,255.08 / $1,255.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.08 / $1,255.08 / $1,255.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.78 / $1,255.08 / $1,320.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.32 / $1,415.70 / $1,489.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.46 / $1,145.31 / $1,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.78 / $1,388.99 / $2,200.58