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Idaho 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
$75.84 / $79.80 / $502.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $72.23 / $79.80
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.70 / $72.23 / $103.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $61.05 / $155.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $95.76 / $99.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $111.72