go back

Montana rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.00 / $604.00 / $749.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.03 / $122.66 / $195.18
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
$46.80 / $46.80 / $214.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.80 / $46.80 / $46.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $147.05 / $273.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $122.66 / $321.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.33 / $143.71 / $301.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.34 / $256.06 / $355.73