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South Carolina 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
$37.15 / $281.84 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $30.20 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.02 / $45.71
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $36.31 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $32.36