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Montana rates for HCPCS 73030

Radiologic examination, shoulder; complete, minimum of 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $269.15 / $645.65
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$204.17 / $245.47 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $41.69 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $14.13 / $63.10
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$16.98 / $33.11 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $39.81 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $134.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $17.38
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$40.74 / $40.74 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $42.66 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $13.18 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $30.20 / $61.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $60.26 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $50.12 / $72.44
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $17.38
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$40.74 / $40.74 / $51.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $77.62 / $93.33
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $14.13 / $20.89
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $37.15 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $33.88 / $56.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $9.77 / $16.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $23.99 / $39.81