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Arizona rates for HCPCS A9537

Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.77 / $93.96 / $753.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $55.10 / $126.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $9.46 / $53.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.53 / $104.93 / $171.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.84 / $50.45 / $244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.43 / $75.67 / $248.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $133.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50