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Colorado rates for HCPCS A9510

Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $67.20 / $283.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $79.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $75.43 / $75.43
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 / $101.99
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $71.40 / $120.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.00 / $292.00 / $292.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $79.80