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California 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
$69.72 / $245.25 / $577.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $69.72 / $71.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.23 / $74.97 / $85.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $71.40 / $134.22
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $57.00 / $138.94
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $34.83 / $41.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $327.45 / $339.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.65 / $429.65 / $523.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $86.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $83.16 / $99.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $79.80
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $38.31 / $59.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $153.30