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Montana rates for HCPCS 74021

Radiologic Exam Abdomen 3+ Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$296.58 / $296.58 / $296.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $41.00 / $212.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.05 / $12.66 / $23.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.17 / $27.96 / $51.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $67.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.98 / $19.98 / $24.70
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$47.85 / $47.85 / $59.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.99 / $55.23 / $93.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.77 / $19.70 / $31.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.22 / $35.53 / $59.72
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.98 / $19.98 / $24.70
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$47.85 / $47.85 / $59.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $67.83 / $108.10
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.77 / $19.98 / $26.86
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.22 / $44.08 / $52.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.38 / $42.22 / $74.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.71 / $14.38 / $35.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.42 / $28.51 / $50.07