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Missouri 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
$30.20 / $138.04 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $83.18 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.84 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
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 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $42.66 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $30.20 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $30.20 / $35.48