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Maryland 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
$51.79 / $306.94 / $732.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $30.60 / $32.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $28.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $34.20 / $40.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $36.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.63 / $244.63 / $244.63