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Montana rates for HCPCS Q9953

Injection, iron-based magnetic resonance contrast agent, per ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.55 / $14.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $35.11 / $39.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $1,800,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.05 / $62.05