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New Jersey 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
$71.40 / $71.40 / $228.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $69.72 / $71.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.69 / $71.40 / $78.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.33 / $41.33 / $41.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $84.00