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Indiana 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
$0.02 / $52.74 / $67.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $67.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $36.79 / $57.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.89 / $71.72 / $82.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.17 / $66.20 / $82.76
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 / $84.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $98.95