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Montana rates for HCPCS 78802

Rp Loclzj Tum Plnr Whole Body Single Day Imaging

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.87 / $312.99 / $1,850.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $57.31 / $443.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.31 / $57.31 / $70.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.93 / $443.78 / $864.51
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.31 / $57.31 / $70.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.75 / $402.85 / $548.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.94 / $288.20 / $565.98