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Montana rates for HCPCS 73115

Radiologic examination, wrist, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $135.36 / $396.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.06 / $42.06 / $212.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.06 / $42.06 / $52.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.34 / $162.11 / $273.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.06 / $42.06 / $52.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.61 / $212.95 / $341.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.77 / $128.47 / $225.63