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Montana rates for HCPCS 70355

Orthopantogram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $21.21 / $31.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.14 / $9.73 / $15.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.15 / $11.48 / $15.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $15.25 / $28.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.25 / $15.25 / $18.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $33.17 / $43.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.94 / $15.25 / $24.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.72 / $16.66 / $22.93
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.25 / $15.25 / $18.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $28.92 / $45.25
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.84 / $15.83 / $22.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.72 / $14.55 / $20.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $21.76 / $34.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.70 / $11.46 / $26.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.66 / $11.06 / $15.66