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Wisconsin 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
$30.08 / $186.90 / $517.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $37.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $51.52 / $115.77
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 / $89.33 / $101.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $30.08 / $37.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $31.94 / $37.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $60.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.61 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $31.21 / $37.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $60.16 / $88.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.08 / $138.08 / $138.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $130.46 / $251.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $37.60 / $48.88