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Connecticut rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $230.07 / $420.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $71.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.19 / $50.25 / $89.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $30.00 / $33.11