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Montana rates for HCPCS 78265

Gastric Emptyng Imag Std W/Sm Bwl Transit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.01 / $364.18 / $483.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.45 / $70.45 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.32 / $566.29 / $903.08
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.45 / $70.45 / $87.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.44 / $597.42 / $914.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.41 / $364.51 / $713.66