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Utah 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
$159.24 / $265.04 / $321.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $266.30 / $266.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $72.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.80 / $375.57 / $395.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.37 / $267.37 / $267.37