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Iowa 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
$117.60 / $145.11 / $145.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $67.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $74.06 / $89.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $92.31 / $198.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.94 / $91.68 / $142.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $144.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.26 / $104.54 / $142.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.94 / $104.54 / $160.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $98.47