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Montana rates for HCPCS A9602

Fluorodopa F-18, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $912.01
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $912.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $512.86 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19