go back

Tennessee 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
$1,707.11 / $1,707.11 / $2,987.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.41 / $1,707.11 / $1,707.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.37 / $2,055.05 / $2,205.88
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.92 / $4,113.52 / $7,712.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,815.69 / $7,815.69 / $9,255.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $1,748.25