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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
$127.92 / $153.62 / $216.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.74 / $106.74 / $210.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.74 / $106.74 / $131.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.49 / $210.32 / $304.58
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.74 / $106.74 / $131.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.08 / $215.14 / $333.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.47 / $147.12 / $225.63