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Montana rates for HCPCS A9595

Piflufolastat F-18, diagnostic, 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,220.80 / $14,004.87 / $32,962.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.60 / $612.60 / $9,741.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.24 / $727.24 / $727.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $627.36 / $627.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.46 / $738.07 / $876.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.36 / $793.85 / $855.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.05 / $615.05 / $615.05