go back

Missouri 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
$48.25 / $71.52 / $272.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $53.10 / $90.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.59 / $96.05 / $148.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $53.10 / $66.38
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.10 / $79.22 / $248.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $56.50 / $88.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $56.50 / $70.45