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Missouri 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
$471.70 / $793.89 / $2,161.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.57 / $635.11 / $966.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.11 / $1,124.67 / $1,741.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.41 / $595.41 / $793.89
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.11 / $793.89 / $2,977.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.72 / $661.57 / $824.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $787.27