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Hawaii 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
$120.23 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $407.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $363.08 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $407.38