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Montana rates for HCPCS 58920

Wedge Rescj/Bisctj Ovary Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $712.71 / $3,727.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.61 / $1,133.61 / $1,133.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.39 / $1,133.61 / $1,180.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.22 / $1,229.80 / $1,298.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.03 / $1,035.14 / $1,493.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,216.00 / $1,987.83