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North Carolina 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
$56.42 / $91.02 / $230.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $60.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.42 / $38.42 / $51.22
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $67.70 / $85.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.41 / $64.41 / $64.41
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.26 / $1,021.26 / $1,021.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $123.89 / $153.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.21 / $187.21 / $187.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $74.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $92.20 / $132.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.24 / $252.24 / $298.70