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Kentucky 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 / $52.70 / $417.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $29.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.96 / $35.38 / $35.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $27.53 / $224.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $36.13 / $45.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $32.26 / $41.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $45.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $32.13