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Montana rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.18 / $4,746.89 / $4,746.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.06 / $1,438.06 / $1,438.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.82 / $1,438.06 / $1,440.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.69 / $1,526.85 / $1,593.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.71 / $1,313.71 / $1,894.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.63 / $1,551.12 / $2,518.78