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Montana rates for HCPCS 78428

Cardiac Shunt Detection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.29 / $215.86 / $1,094.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.73 / $55.73 / $68.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $273.94 / $532.41
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.73 / $55.73 / $68.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.19 / $245.19 / $330.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.77 / $162.58 / $335.90