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Idaho 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
$501.19 / $1,412.54 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $676.08 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $562.34 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $812.83 / $2,398.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $933.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $933.25