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Minnesota 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
$410.73 / $793.89 / $3,079.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.60 / $658.93 / $793.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $260.38 / $1,332.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.14 / $226.42 / $226.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.83 / $735.77 / $1,770.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.31 / $293.37 / $312.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.53 / $672.67 / $1,393.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.00 / $231.00 / $288.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.35 / $726.80 / $1,236.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $1,377.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $1,199.29