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Montana rates for HCPCS G0288

Reconstruction Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.68 / $38.15 / $183.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $63.65 / $81.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $66.40 / $97.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $54.45 / $103.24