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Idaho rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $58.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.75 / $1.93
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.86 / $5.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.31 / $2.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.37