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Wisconsin rates for HCPCS A9505

Thallium Ti-201 Thallous Chloride Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $31.35 / $31.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $31.35 / $39.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $84.61 / $357.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $113.66 / $179.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $62.12 / $70.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $35.14 / $77.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $35.14 / $78.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $68.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $65.00 / $255.73
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $35.14 / $77.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $102.58 / $151.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $216.18 / $216.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $155.46 / $354.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $45.53 / $45.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.23 / $146.58 / $146.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $42.46