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Montana rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $32.53 / $32.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.42 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.51 / $277.11 / $706.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $122.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.51 / $277.11 / $706.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $124.78 / $223.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $32.65