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Montana rates for HCPCS 31624

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.26 / $726.01 / $3,570.34
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,431.90 / $1,431.90 / $1,431.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $155.24 / $417.91
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
$206.11 / $206.11 / $401.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.11 / $206.11 / $206.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.11 / $248.51 / $519.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.27 / $542.10 / $583.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.05 / $269.18 / $477.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.32 / $453.80 / $702.99