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Montana rates for HCPCS 74290

Cholecystography Oral Contrst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.87 / $86.09 / $477.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.56 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.31 / $137.84 / $198.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.25 / $101.40 / $176.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.06 / $114.40 / $198.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.73 / $134.08 / $218.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.90 / $83.37 / $146.41