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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
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,318.26 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,258.93