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Maine 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
$1,190.00 / $1,190.00 / $1,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $680.00 / $99,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $910.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.00 / $1,190.00 / $1,190.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $2,100.00