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Pennsylvania 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 / $1,701.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,190.00 / $1,190.00
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $1,190.00 / $3,070.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.00 / $1,190.00 / $2,927.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,933.40