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New Jersey rates for HCPCS A9539

Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $31.21 / $31.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $31.96 / $35.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $39.47