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Hawaii rates for HCPCS A9510

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.72 / $69.72 / $69.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $107.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.75 / $90.75 / $95.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.78 / $95.76 / $99.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $107.73 / $119.70