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Tennessee 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
$69.72 / $69.72 / $122.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $69.72 / $71.40
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $339.39 / $339.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.65 / $429.65 / $523.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $79.80 / $79.80