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Pennsylvania 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
$38.90 / $380.19 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $42.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.57 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $25.70
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $131.83 / $323.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $323.59 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $72.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $575.44 / $691.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $38.02 / $51.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $38.02 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $37.15