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Montana rates for HCPCS 59136

Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $1,479.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $933.25 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,513.56 / $2,238.72