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California 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
$625.00 / $944.25 / $3,822.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.60 / $658.93 / $1,132.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.33 / $734.34 / $952.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $674.81 / $1,301.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $369.60 / $660.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $140.52 / $321.19
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.00 / $1,035.00 / $1,599.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.20 / $2,485.00 / $2,977.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,016.78 / $3,016.78 / $3,572.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.93 / $793.89 / $980.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $754.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $12.50 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $1,409.01