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Massachusetts 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
$90.73 / $674.81 / $1,440.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $674.81 / $754.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.20 / $818.35 / $2,485.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $3,016.78
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $1,088.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.20 / $754.20 / $2,485.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $3,016.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $992.36