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Wisconsin rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $186.21 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $69.18 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $31.62 / $43.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.00 / $25.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.98 / $23.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.04 / $26.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $28.84 / $41.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.14 / $416.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $89.13 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.34