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Montana rates for HCPCS 75989

Radiological Guidance Prq Drg W/Plmt Cath Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $143.28 / $156.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.71 / $85.71 / $210.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.71 / $85.71 / $105.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.76 / $175.62 / $255.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.71 / $85.71 / $105.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.64 / $165.97 / $239.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.79 / $132.41 / $217.40