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Virginia 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
$295.12 / $831.76 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,071.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $912.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,148.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $977.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $794.33