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Utah 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
$31.21 / $31.21 / $224.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $31.21 / $31.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $26.01 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $44.01 / $46.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60