go back

Montana rates for HCPCS 49185

Sclerotherapy Fluid Collection Prq W/Img Gid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $996.00 / $996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.56 / $831.40 / $2,058.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.97 / $183.50 / $183.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.33 / $579.19 / $2,271.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.31 / $244.77 / $1,683.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.15 / $1,280.41 / $3,216.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.32 / $1,837.55 / $2,412.21