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Ohio 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
$481.95 / $1,331.04 / $2,080.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $635.11 / $901.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.36 / $1,548.07 / $4,300.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $327.12 / $807.11
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.51 / $721.02 / $1,818.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.81 / $674.81 / $793.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $861.36