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Illinois rates for HCPCS A9537

Technetium Tc-99m Mebrofenin Diagnostic Per Study Dose Up To 15 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.10 / $150.12 / $313.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $55.10 / $71.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.26 / $527.04 / $975.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $9.66 / $9.66
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $89.61 / $144.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.66 / $77.66 / $77.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $86.45