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Montana rates for HCPCS A9561

Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $120.23 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $81.28
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $89.13 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $89.13 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $81.28 / $309.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $79.43 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12