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Washington 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 / $35.17 / $48.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $20.32 / $220.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $388.00 / $400.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $65.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.23 / $103.23 / $79,999.20