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Montana rates for HCPCS 74425

Urography, antegrade, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $37.15 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $234.42 / $354.81
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $37.15 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $302.00 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $131.83 / $371.54