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New York 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
$26.82 / $115.28 / $503.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $30.60 / $32.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.79 / $46.79 / $46.79
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.79 / $46.79 / $46.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $32.46 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $25.50 / $44.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $25.50 / $25.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.50 / $31.80 / $31.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $31.80 / $31.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $36.52 / $713.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $32.46 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $43.37
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $25.50 / $25.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $25.50 / $31.80