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Montana rates for HCPCS 70390

Sialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.17 / $116.74 / $653.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.91 / $194.05 / $279.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.57 / $150.97 / $239.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.74 / $170.30 / $279.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.78 / $182.45 / $296.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $114.04 / $202.23