go back

Washington 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
$56.42 / $125.63 / $354.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $66.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $82.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $85.00 / $248.93
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.75 / $63.06 / $298.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $112.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $141.50 / $173.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $141.50 / $176.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.36 / $69.36 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $63.06 / $63.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.91 / $63.06 / $63.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.63 / $266.63 / $266.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $67.80