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Montana rates for HCPCS A9698

Nonradioactive contrast imaging material, not otherwise classified, per study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $26.67 / $66.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $28.35 / $28.35