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Rhode Island 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
$520.60 / $776.24 / $825.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.11 / $674.81 / $674.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.81 / $701.26 / $740.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.50 / $714.50 / $714.50
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $793.89