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Colorado rates for HCPCS A9521

Technetium Tc-99m Exametazime Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.41 / $1,645.41 / $1,645.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.41 / $1,645.41 / $1,953.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.51 / $2,982.31 / $5,484.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.76 / $1,559.34 / $1,748.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $1,748.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $2,297.59
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.41 / $1,826.41 / $2,806.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.80 / $2,614.19 / $3,224.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $1,713.97