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Montana rates for HCPCS 91113

Gi Tract Imaging Intraluminal Colon I&R

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.79 / $939.70 / $1,286.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,154.36 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.67 / $1,409.67 / $1,675.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.32 / $1,299.88 / $2,117.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.79 / $975.75 / $1,675.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.39 / $1,497.84 / $2,195.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.08 / $1,628.65 / $1,853.27