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Kentucky 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 / $331.13 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $35.48 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $36.31 / $48.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $162.18 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $32.36