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Georgia 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
$31.21 / $31.21 / $146.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $31.21 / $31.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $23.89 / $28.76
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 / $31.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.05 / $56.10 / $205.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.27 / $99.78 / $108.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $40.67