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Montana rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $218.78 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $181.97 / $295.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $229.09 / $245.47
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $229.09 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $181.97 / $288.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $229.09 / $2,398,832.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $154.88 / $251.19