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Montana rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.00 / $307.17 / $1,156.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $35.22 / $287.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.22 / $35.22 / $43.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.46 / $287.08 / $559.25
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.22 / $35.22 / $43.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.35 / $255.27 / $347.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.26 / $172.56 / $354.29