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Wisconsin rates for HCPCS A9512

Technetium Tc-99m Pertechnetate Diagnostic Per Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $94.58 / $543.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $2.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $8.08 / $33.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $68.61 / $108.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $37.49 / $42.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.98 / $25.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.02 / $26.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $3.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $21.98 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.98 / $25.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $29.31 / $43.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.15 / $404.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.48 / $27.48 / $27.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $88.47 / $88.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.20