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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
$60.50 / $137.47 / $765.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.16 / $32.86 / $72.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.47 / $56.90 / $93.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $27.36 / $132.53
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $39.02 / $135.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $65.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00