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Montana rates for HCPCS 75822

Venography, extremity, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.15 / $107.15 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $190.55 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $346.74
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.15 / $107.15 / $131.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $147.91 / $229.09