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Montana rates for HCPCS 51784

Emg Stds Anal/Urtl Sphnctr Oth/Thn Ndl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $110.00 / $253.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.40 / $74.81 / $89.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.98 / $59.59 / $163.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.81 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.58 / $57.31 / $101.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.48 / $101.48 / $101.48
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.31 / $57.31 / $57.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.48 / $196.40 / $316.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.31 / $75.81 / $152.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.17 / $120.59 / $191.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.28 / $88.80 / $323.91
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.31 / $57.31 / $57.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.17 / $102.45 / $170.71
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.38 / $63.31 / $128.62
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.69 / $52.76 / $197.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.92 / $121.69 / $320.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.10 / $69.72 / $127.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.82 / $51.97 / $197.09