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Hawaii 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
$31.21 / $31.21 / $31.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $48.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $40.61 / $42.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $42.86 / $44.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $48.22 / $56.40