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Montana rates for HCPCS 78458

Venous Thrombosis Imaging Venogram Bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.56 / $1,212.86 / $1,212.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.97 / $336.11 / $946.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.36 / $303.91 / $590.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.97 / $336.11 / $946.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.89 / $269.02 / $367.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.21 / $180.38 / $372.68