go back

North Carolina rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $237.51 / $694.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $30.60 / $30.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.44 / $20.45 / $22.50
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 / $36.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $29.88 / $46.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $22.29 / $22.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.39 / $434.47 / $516.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $39.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $162.00 / $162.00