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Montana rates for HCPCS 36221

Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.29 / $1,027.73 / $1,523.87
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
$307.58 / $307.58 / $1,531.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $307.58 / $307.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.05 / $984.65 / $1,812.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.47 / $307.58 / $1,523.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.83 / $1,076.04 / $2,225.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.04 / $1,772.36 / $2,193.27