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Utah rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $2.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.95 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74