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Florida 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 / $1,707.11 / $1,963.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.41 / $1,707.11 / $1,748.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $5,658.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.25 / $1,748.25 / $1,748.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.09 / $168.57 / $1,687.76
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.90 / $1,687.76 / $1,687.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $3,021.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $1,765.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.03 / $1,789.03 / $1,789.03