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Montana rates for HCPCS A9524

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

Facilitymedian $437 · 10th–90th $3–$4470%20%10th90th$437Professionalmedian $372 · 10th–90th $355–$4370%50%10th90th$372$5.0$20.0$100.0$500.0

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