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Montana rates for HCPCS A9509

Iodine I-123 sodium iodide, diagnostic, per mCi

Facilitymedian $324 · 10th–90th $12–$69,1830%20%40%10th90th$324Professionalmedian $275 · 10th–90th $69–$3310%20%10th90th$275$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $245.47 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $758.58 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $288.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $316.23 / $323.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $316.23 / $323.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $758.58 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $147.91 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76