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Arizona rates for HCPCS A9510

Technetium Tc-99m Disofennin Diagnostic Per Study Dose Up To 15 Millicuries L Coverage Instructions Apply. See Mcm: 15030)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.04 / $152.32 / $293.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.04 / $68.04 / $69.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.13 / $191.87 / $417.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.30 / $71.06 / $344.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.04 / $85.68 / $327.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $173.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $79.80