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Arkansas rates for HCPCS A9536

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $1,190.00 / $1,190.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.00 / $1,190.00 / $1,190.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.70 / $659.12 / $659.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.52 / $1,400.00 / $1,400.00