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Massachusetts 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 / $213.80 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $36.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $67.61 / $107.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $83.18 / $131.83
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $56.23 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.90 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $51.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $67.61 / $107.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $41.69