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Utah 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
$64.57 / $229.09 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $54.95 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $63.10 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23