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Montana rates for HCPCS 74742

Transcervical catheterization of fallopian tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.87 / $84.63 / $100.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.22 / $45.22 / $45.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.04 / $129.35 / $187.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.18 / $130.32 / $246.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.34 / $120.48 / $191.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.18 / $147.83 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.61 / $169.97 / $298.50