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California 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
$69.18 / $199.53 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $56.23 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $95.50 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $66.07 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $60.26 / $107.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $63.10 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $134.90 / $275.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $66.07 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $58.88 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $114.82