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Idaho rates for HCPCS A9551

Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.33 / $683.33 / $683.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $618.60 / $683.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.02 / $618.60 / $884.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $522.75 / $1,332.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.33 / $820.00 / $854.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $956.68