go back

West Virginia 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
$89.64 / $175.78 / $402.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.10 / $56.42 / $60.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.54 / $64.83 / $76.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.83 / $107.34 / $107.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $85.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.07 / $149.85 / $525.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $59.25 / $59.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.21 / $187.21 / $187.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $113.46