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Arkansas rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $157.18 / $314.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $30.60 / $32.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $34.20 / $34.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $34.20 / $34.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.13 / $36.13 / $36.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.90