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Georgia 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
$69.72 / $69.72 / $69.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $69.72 / $73.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.69 / $56.68 / $63.35
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.54 / $133.08 / $351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $86.98