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Colorado rates for HCPCS A9539

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $35.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.76 / $32.38 / $68.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $43.54
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $31.96 / $54.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $171.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60