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Montana rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $416.87 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $338.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $223.87 / $275.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $223.87 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $199.53 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $275.42 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $269.15