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Montana rates for HCPCS 0439T

Myocardial Perfusion Echo Ischm/Viability Assmt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.95 / $101.89 / $114.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.28 / $148.28 / $148.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $148.28 / $148.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.18 / $88.71 / $148.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.85 / $148.28 / $207.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.55 / $121.54 / $138.66