go back

Montana rates for HCPCS 76831

Saline Infus Sonohysterography W/Color Doppler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $139.01 / $594.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.63 / $183.50 / $183.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.63 / $53.63 / $66.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.25 / $183.50 / $259.98
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.63 / $53.63 / $66.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.19 / $195.55 / $315.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.47 / $121.26 / $212.95