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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
$151.36 / $208.93 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $97.72 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.54 / $144.54 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $338.84 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $85.11 / $229.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $446.68
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.54 / $144.54 / $177.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $457.09
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $125.89 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $100.00 / $165.96