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Montana rates for HCPCS A9556

Gallium Ga-67 citrate, diagnostic, per mCi

Facilitymedian $39 · 10th–90th $39–$720%50%90th$39Professionalmedian $135 · 10th–90th $40–$1550%50%10th90th$135$20.0$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $138.04 / $138.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $39.81
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $58.88 / $162.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $60.26 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88