go back

North Carolina 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
$348.84 / $834.50 / $2,914.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.20 / $479.20 / $674.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.68 / $780.68 / $832.72
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 / $793.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.12 / $293.16 / $658.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.12 / $258.12 / $258.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.27 / $945.65 / $1,124.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $860.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.20 / $754.20 / $2,485.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,016.78 / $3,016.78 / $3,572.51