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Maine rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.74 / $49.74 / $49.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.72 / $1.72
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.74 / $49.74 / $49.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.45