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Montana rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.25 / $66.25 / $81.90
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.25 / $66.25 / $81.90