go back

Montana rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34