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Ohio 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
$43.34 / $117.50 / $277.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $55.10 / $91.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.75 / $132.21 / $367.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.48 / $65.37 / $119.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.67 / $57.09 / $68.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.67 / $59.37 / $109.61
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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.77 / $110.35 / $294.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $66.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $78.59