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Maine rates for HCPCS A9538

Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $63.10 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $77.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $66.07 / $93.33