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Pennsylvania rates for HCPCS A9538

Technetium Tc-99m Pyrophosphate Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.13 / $82.97 / $312.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $65.33 / $70.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $18.25 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $18.25 / $18.25
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $16.34 / $16.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.30 / $73.02 / $230.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.91 / $94.91 / $324.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $65.33 / $145.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $143.28 / $196.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.02 / $73.02 / $73.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $73.02 / $73.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $90.46