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Wisconsin 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
$478.63 / $891.25 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $660.69 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $676.08 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $288.40 / $676.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $630.96 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $676.08 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $3,019.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $912.01