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Indiana 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
$30.20 / $102.33 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $44.67 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $223.87 / $338.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.90 / $30.90
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $36.31