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South Carolina 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
$30.83 / $30.83 / $124.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $30.83 / $31.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.02 / $33.09 / $41.06
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $30.83 / $41.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60