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Montana rates for HCPCS 93567

Njx Drg C-Cathj Supravalvular Aortography S&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $133.03 / $261.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.84 / $57.84 / $57.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.84 / $57.84 / $68.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $57.84 / $314.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.84 / $68.75 / $259.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $82.12 / $177.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.85 / $213.00 / $263.04