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Missouri 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
$1,120.00 / $1,120.00 / $1,120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,162.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.00 / $1,050.00 / $1,400.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $1,611.68 / $4,242.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.00 / $1,400.00 / $2,017.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.00 / $1,400.00 / $1,614.20