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Montana rates for HCPCS 58805

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.56 / $407.56 / $2,203.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.49 / $682.49 / $682.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.49 / $682.49 / $682.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.61 / $682.49 / $682.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.21 / $711.75 / $749.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.08 / $621.17 / $896.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.16 / $711.75 / $1,194.16