go back

Montana rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.86 / $207.36 / $227.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $49.43 / $49.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.73 / $330.73 / $330.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $182.29 / $330.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.34 / $113.09 / $330.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.57 / $243.36 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.90 / $325.22 / $381.71