go back

Montana rates for HCPCS 37252

Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,135.89 / $4,135.89 / $4,135.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.54 / $440.56 / $1,591.67
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
$136.18 / $136.18 / $136.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.18 / $136.18 / $136.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.19 / $979.40 / $2,276.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.17 / $136.18 / $1,247.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $1,039.23 / $2,276.21
Providence
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$298.87 / $417.47 / $515.11
Providence
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$254.04 / $354.85 / $437.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.79 / $2,109.91 / $2,548.48