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Virginia 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
$71.40 / $71.40 / $77.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.72 / $71.40 / $71.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.69 / $63.69 / $78.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $67.20
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.83 / $79.80 / $85.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.40 / $84.00 / $117.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.68 / $113.00 / $166.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $84.66