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Montana rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Facilitymedian $224 · 10th–90th $110$2750%50%10th90th$224Professionalmedian $141 · 10th–90th $107$2240%20%10th90th$141$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $138.04 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $218.78 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $190.55 / $398.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $245.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $186.21 / $275.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $239.88 / $2,570,395.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $154.88 / $257.04