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Idaho rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $227.73 / $674.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $30.96 / $34.20
Cigna
Facility/Professional
Facility
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $30.96 / $83.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $30.00 / $66.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $41.04 / $42.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $42.00