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Maine rates for HCPCS A9541

Technetium Tc-99m Sulfur Colloid Diagnostic Per Study Dose Up To 20 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.90 / $150.22 / $272.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $272.70 / $292.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.68 / $826.68 / $826.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $272.70 / $272.70
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $326.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.65 / $206.62 / $363.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $272.70 / $306.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $401.06