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Montana rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $2,818.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,348.96 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $891.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $912.01 / $1,513.56