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Ohio rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $5.45 / $53.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.95 / $10.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $18.70 / $31.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $10.61 / $11.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $10.61 / $10.61
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.68 / $55.68 / $429.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $2.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.21