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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
$44.59 / $45.20 / $46.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $32.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.76 / $92.76 / $92.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.60 / $30.60
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $36.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $45.20 / $493.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $34.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $45.00