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Pennsylvania rates for HCPCS A9512

Technetium Tc-99m Pertechnetate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $57.28 / $697.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.73 / $1.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.18 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $21.98 / $21.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $3.26 / $66.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $57.28 / $697.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.73 / $2.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.63 / $32.02 / $43.85
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $21.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.21