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Oklahoma 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
$30.46 / $30.46 / $128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.46 / $31.21
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 / $31.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.46 / $34.72 / $55.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $37.60 / $41.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $39.86