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Virginia 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
$30.90 / $31.62 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $47.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $35.48 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $38.02 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $39.81