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Montana rates for HCPCS 74425

Antegrade Urography Radiological Supvj & Interpj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $166.25 / $189.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.81 / $36.81 / $214.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.81 / $36.81 / $45.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.84 / $100.15 / $277.63
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.81 / $36.81 / $45.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $214.00 / $345.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $132.09 / $368.78