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Utah 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
$660.69 / $891.25 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $660.69 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69