go back

Montana rates for HCPCS A9508

Iodine I-131 Iobenguane Sulfate Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.18 / $971.98 / $971.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.92 / $2,375.96 / $6,054.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $876.07 / $1,587.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.92 / $2,375.96 / $6,054.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.07 / $1,313.49 / $1,898.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $886.96 / $886.96