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Montana rates for HCPCS 73615

Radiologic examination, ankle, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.60 / $128.53 / $743.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.59 / $42.59 / $52.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.87 / $154.59 / $275.18
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.59 / $42.59 / $52.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.36 / $201.91 / $326.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.08 / $130.28 / $228.80