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Montana rates for HCPCS A9586

Florbetapir F-18, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,818.38 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,943.28 / $20,417.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $5,248.07
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $5,623.41 / $5,754.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $5,623.41 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,370.32 / $20,417.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,884.03 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03