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Montana rates for HCPCS 78804

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.56 / $72.56 / $89.70
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.56 / $72.56 / $89.70