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Georgia 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
$51.29 / $316.23 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $32.36 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $33.88
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $61.66 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $57.54 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.02