go back

Montana rates for HCPCS A9508

Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,398.83 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,584.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $1,737.80 / $1,737.80
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $1,737.80 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,659.59 / $6,025.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $912.01 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25