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Illinois 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
$471.70 / $889.15 / $1,562.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $635.11 / $833.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $10.63 / $6,787.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.76 / $563.76 / $563.76
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $760.90 / $918.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $714.50