go back

Arizona rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $436.52 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,023.29 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $812.83 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69