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North Carolina 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 / $239.88 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $21.38 / $22.91
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $32.36 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.90
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18