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Montana rates for HCPCS 73521

Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.00 / $297.39 / $398.72
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$378.29 / $378.29 / $426.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.95 / $40.22 / $163.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.36 / $11.15 / $34.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$23.40 / $38.29 / $38.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.57 / $27.76 / $53.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.27 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $16.82 / $65.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.27 / $65.20 / $85.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.82 / $16.82 / $20.80
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$48.37 / $48.37 / $59.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.17 / $53.92 / $88.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.46 / $15.44 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.71 / $39.04 / $61.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.46 / $58.68 / $85.64
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.82 / $16.82 / $20.80
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$48.37 / $48.37 / $59.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $65.20 / $103.91
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.46 / $16.82 / $22.68
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.71 / $45.94 / $53.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.74 / $40.93 / $70.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.55 / $12.17 / $20.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.92 / $28.87 / $50.70