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Idaho 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
$33.88 / $229.09 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $87.10 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $63.10 / $660.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $29.51 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.88 / $42.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $47.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $41.69