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Vermont rates for HCPCS A9539

Technetium Tc-99m Pentetate Diagnostic Per Studydose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.50 / $129.50 / $165.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $31.96 / $31.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $37.60 / $86.87