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Mississippi 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
$391.50 / $650.99 / $1,248.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.99 / $952.67 / $1,060.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.76 / $256.76 / $282.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.53 / $244.53 / $244.53
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.96 / $465.96 / $517.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $661.57 / $860.04