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Alaska rates for HCPCS A9536

Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.00 / $1,890.00 / $1,890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.70 / $2,702.70 / $2,702.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.89 / $710.89 / $1,015.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.70 / $2,702.70 / $2,702.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $1,015.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $2,100.00 / $2,824.08