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Oregon 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
$135.80 / $300.10 / $750.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $266.30 / $266.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.41 / $545.41 / $545.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.67 / $489.85 / $1,226.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.30 / $352.92 / $572.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.80 / $474.36 / $790.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.30 / $381.00 / $609.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $381.00 / $533.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.80 / $304.80 / $304.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $307.48