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Maryland rates for HCPCS A9512

Technetium Tc-99m Pertechnetate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $54.87 / $480.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.73 / $1.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.91 / $26.91 / $26.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.93 / $14.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $5.07 / $5.07