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Indiana 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
$20.32 / $20.32 / $20.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $20.32 / $220.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.00 / $104.00 / $200.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.00 / $104.00 / $143.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,498.80 / $125,998.70 / $166,498.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94,499.06 / $145,798.54 / $164,023.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.28 / $137.28 / $137.28