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Oklahoma 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
$68.04 / $68.04 / $115.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $68.04 / $69.72
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
$68.04 / $77.56 / $118.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $94.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $85.51