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Montana rates for HCPCS A9538

Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $161.00 / $161.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $63.78 / $70.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.70 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $90.91 / $231.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $70.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $90.91 / $231.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $60.66 / $89.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $64.05