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Hawaii 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
$107.67 / $258.39 / $659.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $29.88 / $32.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $46.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $38.89 / $40.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.61 / $41.04 / $42.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $46.17