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Montana rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.75 / $1,217.75 / $1,217.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.54 / $1,294.80 / $1,370.00