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Kansas 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
$38.85 / $215.15 / $250.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $84.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $204.37 / $340.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $157.90 / $157.90
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.69 / $69.91 / $107.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $429.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $89.83