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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
$170.06 / $170.06 / $170.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $70.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.04 / $198.04 / $198.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $65.33 / $65.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $78.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.06 / $170.06 / $170.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $65.33 / $70.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $65.33 / $112.09