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Wisconsin 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
$67.59 / $196.80 / $334.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $55.10 / $122.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $186.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.18 / $45.67 / $63.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $186.37 / $294.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $101.88 / $115.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.10 / $56.42 / $71.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.10 / $179.37 / $502.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $118.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.10 / $57.64 / $135.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $131.88 / $194.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.93 / $248.93 / $248.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $70.36 / $252.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $74.68 / $74.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $240.44 / $240.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $90.40