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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
$2,845.96 / $2,845.97 / $3,130.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,184.52 / $8,023.90 / $20,446.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $2,914.55 / $5,233.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,184.52 / $8,023.90 / $20,446.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.55 / $4,206.74 / $5,771.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.40 / $2,857.40 / $2,857.40