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Montana rates for HCPCS A9587

Gallium Ga-68, dotatate, diagnostic, 0.1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $7,430.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.04 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $58.93 / $58.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.93 / $75.89 / $75.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.78 / $57.78 / $57.78