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Arizona rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.41 / $15.41 / $308.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $409.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $3.27 / $5.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.53 / $7.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.35 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69