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Montana rates for HCPCS 36005

Njx Px Xtr Vngrph W/Intro Ndl/Intracath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,535.40 / $1,535.40 / $1,916.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $264.30 / $404.53
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$372.08 / $372.08 / $372.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $393.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $73.09 / $73.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $296.48 / $540.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $296.32 / $648.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.28 / $278.30 / $588.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.45 / $506.41 / $609.16