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Montana rates for HCPCS 75810

Splenoportography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,313.19 / $3,139.35 / $3,494.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.81 / $841.19 / $1,317.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.06 / $678.81 / $995.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.85 / $926.84 / $2,917.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.72 / $678.81 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.54 / $1,681.78 / $2,953.51