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Montana rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.65 / $1,181.70 / $3,026.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $32.86 / $32.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.76 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.53 / $85.67 / $218.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $51.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.53 / $85.67 / $218.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $44.91 / $61.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00