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Montana rates for HCPCS A9555

Rubidium Rb-82, diagnostic, per study dose, up to 60 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.61 / $355.61 / $474.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.07 / $1,160.88 / $2,958.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $440.51 / $735.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.07 / $1,160.88 / $2,958.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.61 / $608.62 / $879.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.75 / $520.75 / $520.75