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Montana rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $15.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $12.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $11.23 / $12.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $12.57