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Montana rates for HCPCS 75736

Angiography Pelvic Slctv/Supraslctv Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $209.05 / $256.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $80.45 / $226.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.45 / $80.45 / $99.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.38 / $339.70 / $533.72
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.45 / $80.45 / $99.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.53 / $251.30 / $372.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $216.75 / $395.91