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Montana rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Facilitymedian $457 · 10th–90th $389–$4,4670%20%40%10th90th$457Professionalmedian $3,162 · 10th–90th $437–$5,6230%20%10th90th$3,162$50.0$500.0$5.0K$50.0K$500.0K

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
$2,290.87 / $3,162.28 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $398.11 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $446.68 / $9,120.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $446.68 / $9,120.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $588.84 / $4,466.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $1,819,700.86 / $2,398,832.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $1,659.59 / $2,951.21