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Wisconsin rates for HCPCS A9550

Tc99m Gluceptate

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
$20.32 / $20.32 / $20.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $20.32 / $52.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $20.32 / $52.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $20.32 / $52.59