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Indiana 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
$0.02 / $30.08 / $199.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.40 / $68.40 / $132.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $68.40 / $92.34
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 / $37.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $46.62