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Arizona 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
$60.26 / $158.49 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $45.71 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $40.74 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $48.98 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20