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Ohio 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 / $2,553.60 / $3,113.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,939.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $640.00 / $680.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.51 / $953.56 / $1,165.46
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.93 / $140.96 / $226.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,947.54