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Montana rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.08 / $160.08 / $160.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99