go back

Montana rates for HCPCS 59821

Tx Missed Abortion Second Trimester Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,793.20 / $6,793.20 / $6,793.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.44 / $388.37 / $1,537.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.66 / $604.66 / $692.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.66 / $604.66 / $604.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.65 / $604.66 / $692.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.82 / $665.60 / $712.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.31 / $599.46 / $844.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.35 / $557.35 / $6,359.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.54 / $685.56 / $1,213.59