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Ohio 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
$67.20 / $152.28 / $186.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $116.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $60.07 / $87.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.24 / $73.59 / $89.96
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $106.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.93 / $140.96 / $226.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $103.90