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Montana rates for HCPCS A9556

Gallium Ga-67 Citrate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $1,260.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $59.44 / $151.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $137.72 / $137.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $59.44 / $151.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $33.00 / $137.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.91 / $153.91 / $153.91