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Alaska rates for HCPCS A9539

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $50.76 / $50.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.59 / $72.59 / $72.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $38.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.58 / $53.58 / $53.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.59 / $72.59 / $72.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $38.95 / $79.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $56.40 / $75.84