go back

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
$238.77 / $387.95 / $1,518.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.03 / $91.03 / $378.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.97 / $131.97 / $480.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.97 / $131.97 / $163.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.33 / $532.53 / $748.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.05 / $131.97 / $209.72
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$131.97 / $131.97 / $163.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.83 / $503.07 / $776.83
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.05 / $131.97 / $174.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.45 / $395.54 / $591.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.91 / $79.61 / $160.99