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Missouri 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
$39.76 / $76.86 / $93.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $61.49 / $76.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.81 / $108.89 / $168.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.65 / $61.49 / $76.86
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.49 / $88.39 / $288.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.44 / $64.05 / $79.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.77 / $64.05 / $75.31