go back

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
$504.71 / $674.81 / $3,288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $674.81 / $682.75
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.81 / $723.72 / $2,466.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,470.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.70 / $392.70 / $481.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.20 / $905.04 / $942.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $926.20