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Utah 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
$77.62 / $263.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $302.00 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15