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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 / $4.01 / $4.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $3.38 / $5.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $41.80 / $57.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $9.84 / $11.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $9.84 / $15.25
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 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.11