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Montana rates for HCPCS 77417

Therapeutic Radiology Port Images(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $38.60 / $66.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $23.66 / $23.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $16.96 / $25.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $18.55 / $22.69