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Utah 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
$29.88 / $361.62 / $492.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $29.88 / $29.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $26.90 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.20 / $42.14 / $44.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00