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Oregon rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $465.30 / $674.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $29.88 / $29.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.20 / $61.20 / $61.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.24 / $71.77 / $77.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.88 / $39.60 / $64.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $39.40 / $65.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.88 / $42.75 / $68.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $42.75 / $59.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $34.20 / $34.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $34.50