go back

Montana rates for HCPCS A9539

Technetium Tc-99m Pentetate Diagnostic Per Studydose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $31.21 / $31.21
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
$47.85 / $128.50 / $327.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $47.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.85 / $128.50 / $327.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $41.71 / $57.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60