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Maryland rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Facilitymedian $245 · 10th–90th $42–$6920%10%10th90th$245Professionalmedian $30 · 10th–90th $28–$360%50%10th90th$30$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $245.47 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.20 / $36.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $32.36 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $36.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47