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Montana rates for HCPCS 0076T

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $602.56 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $3,715.35
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $977.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $1,621.81