go back

Rhode Island 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
$94.35 / $291.20 / $309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $30.60 / $30.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $31.80 / $33.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $32.40
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $36.00