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Arizona rates for HCPCS A9541

Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.18 / $207.90 / $692.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $259.88 / $292.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $192.50 / $342.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.90 / $507.20 / $829.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.88 / $243.84 / $1,181.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.88 / $327.26 / $1,203.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $630.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $267.37