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California rates for HCPCS A9550

Technetium Tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $19.21 / $161.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $19.21 / $25.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $306.00 / $400.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.88 / $43.20 / $105.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $20.32 / $43.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,250,000.00