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Montana rates for HCPCS A9800

Gallium Ga-68 gozetotide, diagnostic, (Locametz), 1 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.63 / $609.66 / $609.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,684.86 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $624.36 / $624.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.63 / $734.54 / $1,174.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.36 / $1,127.23 / $1,174.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.11 / $612.11 / $612.11