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Montana rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.87 / $229.22 / $1,285.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.32 / $398.68 / $1,122.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.85 / $331.78 / $646.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.32 / $398.68 / $1,122.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.60 / $282.77 / $383.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.32 / $193.26 / $393.60