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Ohio 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
$30.08 / $70.69 / $698.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $31.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $19.01 / $19.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.23 / $28.76 / $48.35
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
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $47.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $46.66