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Texas rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $6.09 / $115.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.66 / $1.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $9.94 / $19.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.66 / $12.66 / $297.14
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $404.61 / $420.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.02 / $4.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $17.59 / $18.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.02 / $4.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $3.93 / $5.31