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Montana rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.65 / $1,116.61 / $1,335.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.83 / $332.83 / $332.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.74 / $347.45 / $409.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.67 / $427.05 / $448.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.71 / $336.46 / $468.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.51 / $427.04 / $718.71