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Montana rates for HCPCS 75726

Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.82 / $209.52 / $277.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.34 / $78.52 / $240.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $145.12 / $267.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.12 / $145.12 / $179.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.26 / $343.34 / $531.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.45 / $85.37 / $218.04
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.12 / $145.12 / $179.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.01 / $267.63 / $441.05
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.81 / $93.70 / $159.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.67 / $244.76 / $329.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.57 / $100.33 / $176.20