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Montana rates for HCPCS 70350

Cephalogram, orthodontic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $19.00 / $23.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.26 / $10.74 / $13.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $13.15 / $26.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $26.29 / $40.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.19 / $15.83 / $19.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $26.29 / $41.06
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.19 / $15.13 / $19.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $20.65 / $31.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.30 / $11.43 / $14.58