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Vermont 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
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $119.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.40 / $109.40 / $109.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $71.40 / $71.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $79.80 / $184.37