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Montana rates for HCPCS A9560

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $93.03 / $248.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.33 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.94 / $253.51 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $95.27 / $161.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.94 / $253.51 / $646.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.82 / $132.91 / $193.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00