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Montana rates for HCPCS 72265

Myelography, lumbosacral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.54 / $74.13 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $186.21 / $263.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $128.82 / $177.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $281.84
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $295.12
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $109.65 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $87.10 / $128.82