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Texas 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
$52.56 / $167.38 / $329.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $54.43 / $63.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $260.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.10 / $138.85 / $275.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $55.76 / $55.76
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.98 / $56.98 / $973.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $73.73 / $73.73
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.20 / $132.76 / $248.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.24 / $252.24 / $298.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.10 / $77.83 / $393.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $50.74 / $425.27
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.85 / $367.21 / $425.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.58 / $95.01 / $99.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $66.38 / $101.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $57.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $54.00 / $56.50