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Maryland 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
$523.83 / $857.82 / $2,046.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.93 / $674.81 / $863.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.01 / $451.01 / $451.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.07 / $754.20 / $867.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $793.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $240.00