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Montana rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.41 / $299.43 / $1,130.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.02 / $31.02 / $278.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.02 / $31.02 / $38.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.74 / $278.67 / $542.96
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.02 / $31.02 / $38.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.21 / $247.94 / $337.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.68 / $167.49 / $346.06