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Hawaii rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $32.53 / $32.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $50.26
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.59 / $197.59 / $206.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $44.68 / $46.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $48.99 / $50.26
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $31.12 / $31.12