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Arizona rates for HCPCS A9520

Technetium Tc-99m Tilmanocept Diagnostic Up To 0.5 Millicuries (Code Was Deleted 12/31/05 But Reinstated On 1/1/14) Supply Of Radiopharmaceutical Diagnostic Imaging Aagent Technitium Tc-99m Sulfur Colloid Per Mci

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.95 / $438.09 / $1,519.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.60 / $643.04 / $2,522.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.20 / $1,254.98 / $2,052.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.52 / $603.36 / $2,922.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.04 / $793.89 / $2,977.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $1,435.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $661.57