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Montana rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.22 / $925.22 / $5,060.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.71 / $1,583.71 / $1,583.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.33 / $1,583.71 / $1,629.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.69 / $1,626.30 / $1,717.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.94 / $1,434.06 / $2,068.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.53 / $1,623.42 / $2,756.50