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North Dakota 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 / $781.79 / $781.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $32.86 / $36.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $31.61 / $32.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $33.00 / $41.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $48.67 / $431.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $162.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $33.00