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Hawaii 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
$104.00 / $104.00 / $104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $55.10 / $60.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $85.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.70 / $71.70 / $75.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $75.67 / $78.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $84.75 / $85.13