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Montana rates for HCPCS 72130

Ct Thoracic Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.71 / $243.23 / $1,338.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.47 / $67.33 / $359.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.12 / $94.12 / $321.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.12 / $94.12 / $116.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.79 / $441.16 / $610.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.97 / $94.03 / $148.37
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.12 / $94.12 / $116.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.31 / $353.04 / $519.55
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.97 / $94.12 / $123.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $319.06 / $573.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.09 / $55.79 / $114.08