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Montana rates for HCPCS A9530

Iodine I-131 sodium iodide solution, therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $10.74 / $21.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $17.88 / $18.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $17.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $8.67 / $18.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $16.50 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $7.36 / $7.73