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Montana rates for HCPCS 76705

Us Abdominal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.97 / $471.20 / $959.42
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.45 / $48.45 / $91.79
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$281.01 / $342.30 / $950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.70 / $118.44 / $453.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.19 / $42.77 / $124.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.45 / $88.68 / $153.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.42 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $43.12 / $137.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.37 / $137.22 / $358.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.12 / $43.12 / $53.30
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$94.12 / $94.12 / $116.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $137.22 / $198.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.52 / $43.12 / $60.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.97 / $94.12 / $137.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.07 / $161.49 / $199.87
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.12 / $43.12 / $53.30
Providence
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$94.12 / $94.12 / $116.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.53 / $150.74 / $248.21
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.86 / $43.12 / $50.32
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.80 / $94.12 / $110.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.75 / $102.51 / $162.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.95 / $30.24 / $52.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.80 / $72.27 / $110.29