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Montana rates for HCPCS 75984

Change Prq Tube/Drainage Cath W Contrast Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $103.79 / $570.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.89 / $58.89 / $150.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.89 / $58.89 / $72.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.86 / $150.38 / $219.89
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.89 / $58.89 / $72.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.59 / $163.36 / $264.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.69 / $107.41 / $176.83