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Montana rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.89 / $130.63 / $140.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.94 / $178.41 / $279.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $174.04 / $337.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $174.04 / $279.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $135.40 / $190.99