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Montana rates for HCPCS 73050

Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $154.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.02 / $26.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $28.18 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $45.71
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $14.13 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $31.62 / $60.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $93.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $17.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.57 / $85.11
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $14.45 / $21.38
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $32.36 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $36.31 / $57.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $10.72 / $17.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $25.12 / $40.74