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Montana rates for HCPCS 76499

Unlisted diagnostic radiographic procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $158.49 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $263.03 / $263.03
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $263.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $52.48 / $309.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $85.11