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New York 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
$25.94 / $31.96 / $911.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.94 / $31.21 / $31.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $35.72
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.19 / $70.19 / $70.19
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $70.19 / $70.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $33.90 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $55.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $31.96 / $31.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $13.52 / $20.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.53 / $56.53 / $56.53
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $33.90 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $52.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $12.24 / $13.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $20.60