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Montana rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $722.00 / $722.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.20 / $1,084.20 / $1,084.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $1,084.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.20 / $1,084.20 / $1,084.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.41 / $897.35 / $1,231.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $143.00