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Indiana 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
$63.71 / $265.02 / $473.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $53.10 / $228.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.35 / $103.35 / $103.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.98 / $113.00 / $186.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $477.50 / $644.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.23 / $64.72 / $96.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.23 / $50.85 / $60.10
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 / $66.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $84.75