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Montana rates for HCPCS A9541

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $645.65 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $190.55 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $616.60 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $616.60 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $275.42 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $229.09 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15