go back

Montana rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $91.83 / $108.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $35.22 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.22 / $35.22 / $43.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $128.82 / $209.93
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.22 / $35.22 / $43.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.58 / $132.63 / $212.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $100.25 / $162.88