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Montana rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.94 / $4,290.82 / $4,290.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.35 / $1,301.35 / $1,301.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.25 / $1,301.35 / $1,337.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.58 / $1,433.90 / $1,510.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.25 / $1,188.50 / $1,714.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.07 / $1,400.66 / $2,281.98