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Montana rates for HCPCS 73206

Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $120.23 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $102.33 / $234.42
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $537.03 / $676.08
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.83 / $131.83 / $162.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $831.76
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $131.83 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $588.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $79.43 / $154.88