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Montana rates for HCPCS Q9956

Injection, octafluoropropane microspheres, per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.48 / $87.48 / $648.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.06 / $44.72 / $192.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.81 / $47.81 / $94.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $47.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.19 / $47.81 / $94.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $49.10 / $53.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $40.65 / $40.65