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Montana rates for HCPCS 75805

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.90 / $3,141.05 / $3,498.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.61 / $494.00 / $758.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.54 / $399.61 / $593.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.07 / $511.06 / $2,920.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.29 / $389.33 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.68 / $1,672.75 / $2,937.65