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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
$257.04 / $257.04 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $45.71
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $40.74 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $45.71