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Minnesota 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
$36.31 / $380.19 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $74.13 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $109.65 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.02 / $41.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $104.71 / $208.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $60.26 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $53.70