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Oklahoma 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
$29.16 / $92.71 / $134.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $29.16 / $29.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $33.53 / $135.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $36.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $31.80