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New York rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.04 / $31.35 / $33.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $32.53 / $33.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $33.22
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.86 / $161.86 / $161.86
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.86 / $161.86 / $161.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $164.93 / $164.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.18 / $100.95 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.74 / $69.09 / $69.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.09 / $71.80 / $71.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.09 / $71.80 / $71.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $164.93 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $65.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $44.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $69.09 / $69.09
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $69.09 / $71.80