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Utah 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
$63.79 / $63.79 / $63.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.79 / $63.79 / $63.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.33 / $65.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $89.98 / $94.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $64.05 / $64.05