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Washington rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $4.09 / $869.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.73 / $1.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $404.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $3.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.40 / $22.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $4.48 / $22.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $3.08 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $15.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.93 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.02