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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
$28.80 / $117.01 / $345.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $29.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.70 / $51.00 / $78.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $28.80 / $36.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $42.97 / $135.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $30.00 / $37.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $35.28