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Idaho rates for HCPCS A9539

Technetium Tc-99m Pentetate Diagnostic Per Studydose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $35.72 / $40.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $32.34 / $35.72
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $32.34 / $46.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.33 / $30.00 / $69.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $42.86 / $44.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $52.64