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Montana rates for HCPCS 59857

Induced Abort 1/> Vag Suppos Dlvr Fetus Hystot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.45 / $2,950.45 / $2,950.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.83 / $923.83 / $923.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.00 / $923.83 / $923.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.54 / $926.25 / $966.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.67 / $838.11 / $1,208.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.07 / $974.99 / $1,617.83