go back

Utah 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
$55.10 / $244.23 / $280.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $55.10 / $55.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $71.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $77.70 / $81.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50