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Montana rates for HCPCS 78261

Gastric mucosa imaging

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.28 / $1,208.25 / $1,208.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.58 / $360.10 / $1,035.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.64 / $291.29 / $566.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.58 / $360.10 / $1,035.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.28 / $266.73 / $416.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.15 / $220.34 / $383.72