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Idaho 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
$65.65 / $144.66 / $283.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $63.06
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $72.22 / $85.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $48.24 / $122.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $75.67 / $78.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $79.09