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Montana rates for HCPCS 73219

Mri Upper Extremity Oth Than Jt W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.08 / $418.76 / $2,269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.88 / $119.88 / $537.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.88 / $119.88 / $148.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.49 / $658.82 / $912.34
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.88 / $119.88 / $148.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.73 / $567.24 / $886.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.82 / $476.09 / $695.90