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Virginia 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 / $208.60 / $751.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.88 / $30.60 / $30.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $35.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $28.80 / $28.80
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $35.79 / $42.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.29 / $36.00 / $53.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.32 / $59.00 / $77.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $34.20 / $44.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $34.20 / $44.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $36.00