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Montana rates for HCPCS 78469

Myocrd Infarct Avid Plnr Tomog Spect W/Wo Quantj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.12 / $1,319.25 / $1,319.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.03 / $1,062.72 / $1,062.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.25 / $66.25 / $81.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.92 / $323.89 / $629.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.67 / $257.64 / $503.57
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.25 / $66.25 / $81.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.48 / $288.27 / $391.74
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.67 / $257.64 / $381.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.02 / $208.73 / $404.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.76 / $167.36 / $323.87