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Montana rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Facilitymedian $447 · 10th–90th $363–$2,2910%20%40%10th90th$447Professionalmedian $1,585 · 10th–90th $437–$2,7540%20%10th90th$1,585$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,659.59 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $436.52 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $398.11 / $588.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $4,570.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $575.44 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $1,819,700.86 / $2,398,832.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $1,698.24 / $2,884.03