go back

Montana rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.52 / $1,554.87 / $1,731.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.10 / $466.11 / $680.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.31 / $394.35 / $582.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.27 / $487.50 / $1,468.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $387.35 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.39 / $1,690.80 / $2,969.35