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North Dakota 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
$635.11 / $998.95 / $1,193.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $658.93 / $793.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.45 / $697.08 / $707.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.00 / $288.75 / $674.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.98 / $674.81 / $1,131.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $3,016.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $727.73