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Montana rates for HCPCS 0075T

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $3,981.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,398.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $3,235.94