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Minnesota 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
$37.60 / $37.60 / $37.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $31.21 / $37.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $20.19 / $118.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $20.19 / $20.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $47.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $37.60 / $64.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $74.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $67.68