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Maine 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
$30.90 / $46.77 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $30.90
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 / $54.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $36.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $44.67 / $489.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $43.65