go back

South 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
$5.66 / $650.99 / $3,041.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.20 / $650.99 / $658.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.52 / $380.83 / $729.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.11 / $563.76 / $676.51
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.12 / $650.99 / $873.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $661.57 / $661.57