go back

Montana rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Facilitymedian $617 · 10th–90th $72–$1,3180%10%10th90th$617Professionalmedian $263 · 10th–90th $60–$6170%50%10th90th$263$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $645.65 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $263.03 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $190.55 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $616.60 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $616.60 / $630.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $190.55 / $616.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $229.09 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15