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Montana rates for HCPCS A9503

Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $100.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $48.98 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $64.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $64.57 / $66.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $64.57 / $66.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $40.74 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $64.57 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88