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Oregon 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
$79.80 / $79.80 / $168.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.72 / $69.72 / $79.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.80 / $142.80 / $142.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.51 / $145.91 / $157.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.72 / $92.40 / $149.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.80 / $80.40 / $134.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.72 / $99.75 / $159.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $99.75 / $126.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $79.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $91.77