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Montana rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $128.82 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $177.83 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $194.98 / $338.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $190.55 / $263.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $263.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $154.88 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $251.19