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Indiana rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $3.98 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.57 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $41.69 / $64.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $18.20 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.04