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Indiana 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
$446.68 / $954.99 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $575.44
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $794.33