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Montana rates for HCPCS A9524

Iodine I-131 iodinated serum albumin, diagnostic, per 5 mcCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $371.54 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $239.88 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $436.52 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $436.52 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $239.88 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05