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Oklahoma 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
$643.04 / $1,089.65 / $1,755.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $643.04 / $658.93
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
$563.76 / $675.20 / $2,977.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $811.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $708.95