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Delaware 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
$27.93 / $281.70 / $552.39
Aetna
Facility/Professional
Professional
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $248.72 / $545.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $30.00 / $66.00