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Maine 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
$649.40 / $674.80 / $1,160.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $674.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.51 / $2,045.51 / $2,045.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $674.80 / $674.80
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $808.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.40 / $649.40 / $1,160.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $757.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $992.36