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Iowa 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
$28.18 / $691.83 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $41.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $309.03 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $72.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $48.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $30.20