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Missouri 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
$131.83 / $302.00 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $331.13 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $331.13 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $269.15 / $323.59