go back

New Jersey 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
$30.60 / $270.60 / $428.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $29.88 / $30.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.44 / $151.44 / $151.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $39.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.90 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $25.50 / $25.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $34.27