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North Dakota rates for HCPCS A9540

Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 mCi

Facilitymedian $331 · 10th–90th $28$7760%20%10th90th$331Professionalmedian $30 · 10th–90th $24$360%20%40%10th90th$30$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $331.13 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $31.62 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $41.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $436.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $44.67