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Montana rates for HCPCS A9588

Fluciclovine F-18 Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.58 / $514.58 / $514.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $526.98 / $526.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $676.10 / $676.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.65 / $516.65 / $516.65