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Montana rates for HCPCS 59136

Tx Ectopic Pregnancy Ntrstl Prtl Rescj Uter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.77 / $4,561.72 / $4,561.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.33 / $1,433.33 / $1,433.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.33 / $1,433.33 / $1,433.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.41 / $1,433.33 / $1,482.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.13 / $1,541.15 / $1,635.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.98 / $1,300.59 / $1,876.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.11 / $1,531.65 / $2,507.67