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Montana rates for HCPCS A9699

Radiopharmaceutical, therapeutic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,412.56 / $47,412.56 / $47,412.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,507.89 / $73,507.89 / $73,507.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,437.90 / $38,437.90 / $73,507.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,507.89 / $73,507.89 / $73,507.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73,507.89 / $87,907.50 / $103,425.52