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Pennsylvania 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
$59.24 / $127.08 / $371.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $122.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.27 / $52.27 / $52.27
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $9.65 / $1,620.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.62 / $107.79 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.79 / $107.79 / $107.79
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.54 / $216.36 / $378.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $9.36 / $1,555.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.37 / $129.87 / $380.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $128.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.47 / $621.52 / $864.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.69 / $170.09 / $233.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $69.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $63.06 / $69.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.46 / $113.46 / $113.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $97.38