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Montana rates for HCPCS 73580

Radiologic Exam Knee Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.26 / $123.66 / $177.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.78 / $29.43 / $32.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.85 / $47.85 / $174.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.85 / $47.85 / $59.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.72 / $174.57 / $292.24
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.31 / $43.37 / $69.58
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.85 / $47.85 / $59.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.55 / $203.86 / $360.06
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.13 / $47.85 / $57.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.64 / $138.58 / $243.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.00 / $29.59 / $51.97