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Montana rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $88.18 / $411.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $28.39 / $147.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.39 / $28.39 / $35.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.91 / $117.49 / $193.23
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.39 / $28.39 / $35.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.11 / $147.75 / $241.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.33 / $91.67 / $160.99