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Montana rates for HCPCS 76800

Ultrasound, spinal canal and contents

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.87 / $164.73 / $691.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $96.75 / $272.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.75 / $96.75 / $119.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.71 / $226.40 / $310.27
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.75 / $96.75 / $119.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.97 / $269.37 / $393.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $145.80 / $256.05