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South Carolina 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
$1,686.54 / $1,686.54 / $6,818.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.34 / $1,686.54 / $1,686.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.80 / $2,056.76 / $2,383.28
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 / $1,748.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $1,686.54 / $2,262.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $1,713.97