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Montana rates for HCPCS A9541

Technetium Tc-99m Sulfur Colloid Diagnostic Per Study Dose Up To 20 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $577.60 / $1,304.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $266.30 / $292.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.18 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.31 / $191.70 / $620.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $620.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.31 / $191.70 / $620.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.30 / $327.68 / $607.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $267.37