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Montana rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $117.73 / $704.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $417.72 / $805.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.62 / $200.86 / $319.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.75 / $201.78 / $417.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.58 / $205.97 / $320.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.94 / $223.29 / $263.04