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Indiana 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
$28.80 / $99.40 / $293.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $28.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.50 / $60.00 / $99.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.53 / $224.00 / $302.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.14 / $38.00 / $52.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $29.85 / $35.28
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 / $36.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $37.52