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South Carolina 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
$68.88 / $68.88 / $278.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.88 / $68.88 / $71.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $73.92 / $91.73
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $60.35 / $92.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $79.80