go back

Montana rates for HCPCS 58720

Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)

Insurance Carrier
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
$1,207.24 / $1,207.24 / $1,207.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.92 / $1,264.90 / $1,337.74