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New York 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
$114.82 / $257.04 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $288.40 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $1,445.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $141.25 / $323.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $54.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $295.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $281.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $275.42 / $1,949.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $407.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $281.84 / $295.12
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $275.42 / $281.84