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Minnesota 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
$84.00 / $84.00 / $84.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $69.72 / $84.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $43.70 / $257.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.96 / $43.70 / $43.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $186.33 / $448.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $71.40 / $75.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.46 / $170.35 / $352.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $59.25 / $74.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $84.00 / $141.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $157.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $144.66