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Montana rates for HCPCS 73202

Ct Upper Extremity W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.49 / $318.58 / $896.69
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $61.07 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $89.39 / $402.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.39 / $89.39 / $110.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.25 / $404.23 / $642.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.95 / $89.39 / $142.66
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.39 / $89.39 / $110.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.24 / $425.43 / $652.79
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.95 / $89.39 / $119.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.89 / $320.94 / $500.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.96 / $53.59 / $109.66