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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
$30.60 / $341.76 / $500.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $30.60 / $32.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.55 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.74 / $133.19 / $483.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $323.05 / $513.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $30.60 / $41.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.15 / $574.86 / $788.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $34.20 / $37.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $34.20 / $37.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $37.50