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Massachusetts 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
$71.40 / $71.40 / $115.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $71.40 / $79.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.62 / $129.19 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $79.80 / $150.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.84 / $189.84 / $349.68
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.58 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.77 / $59.50 / $86.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $115.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $118.87 / $339.39
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $79.80 / $429.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $79.80 / $119.70