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Montana rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.70 / $475.00 / $1,514.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.00 / $105.98 / $504.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $131.44 / $442.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.44 / $131.44 / $162.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.91 / $585.51 / $780.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.01 / $131.44 / $208.68
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.44 / $131.44 / $162.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.61 / $463.17 / $729.59
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.01 / $131.44 / $187.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $446.62 / $789.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $84.31 / $161.93