go back

Maryland 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
$39.95 / $202.00 / $770.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $31.96 / $31.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
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
$29.99 / $33.15 / $38.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $38.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25