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Montana rates for HCPCS 73501

Radiologic examination, hip, unilateral, with pelvis when performed; 1 view

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $37.15 / $109.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.72 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $25.70 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $52.48
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $17.38
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$38.02 / $38.02 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $39.81 / $77.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $12.02 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $28.18 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $85.11
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.13 / $14.13 / $17.38
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$38.02 / $38.02 / $46.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $72.44 / $87.10
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $14.13 / $20.89
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $33.88 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $32.36 / $53.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $10.00 / $16.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $22.39 / $38.02