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Utah rates for HCPCS A9536

Tc99m depreotide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $1,162.00 / $1,162.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.00 / $1,162.00 / $1,162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.12 / $659.12 / $659.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00