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Montana rates for HCPCS 38792

Injection procedure; radioactive tracer for identification of sentinel node

Facilitymedian $126 · 10th–90th $54–$7760%10%20%10th90th$126Professionalmedian $68 · 10th–90th $32–$1780%10%10th90th$68$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $707.95 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $63.10 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $107.15 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $218.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $69.18 / $158.49
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $69.18 / $158.49
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $74.13 / $186.21
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $67.61 / $151.36