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Montana rates for HCPCS 74290

Cholecystography, oral contrast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $66,069.34 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $134.90 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $102.33 / $199.53
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $147.91 / $223.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $223.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $112.20 / $181.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $190.55 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $141.25