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Maine 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
$65.95 / $77.70 / $287.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $55.10 / $60.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.69 / $174.69 / $174.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.50
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $67.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.70 / $125.25 / $326.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $110.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $56.50 / $84.75