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Montana rates for HCPCS A9560

Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 mCi

Facilitymedian $178 · 10th–90th $3–$64,5650%20%40%10th90th$178Professionalmedian $93 · 10th–90th $89–$2510%50%10th90th$93$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$89.13 / $93.33 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $251.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $162.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $173.78 / $177.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $173.78 / $177.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $645.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00