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Oregon 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
$67.77 / $129.91 / $203.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $55.10 / $122.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.84 / $112.84 / $112.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $122.28 / $145.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.10 / $73.02 / $118.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.10 / $78.83 / $126.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $78.83 / $110.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $64.98