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Hawaii rates for HCPCS A9520

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.93 / $658.93 / $658.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $1,018.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.62 / $905.04 / $942.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $992.36 / $1,018.17