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Montana rates for HCPCS 75880

Venography, orbital, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.06 / $111.40 / $669.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.36 / $174.09 / $250.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $169.83 / $267.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.40 / $169.83 / $320.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.17 / $188.04 / $279.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $144.29 / $213.59