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Massachusetts 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
$30.60 / $211.25 / $982.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $30.60 / $34.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.93 / $66.87 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $30.00 / $59.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $81.36 / $149.86
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 / $30.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.99 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $30.58 / $44.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $49.36
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $162.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $49.62