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Indiana 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
$575.44 / $575.44 / $1,076.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.00 / $352.00 / $679.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.00 / $352.00 / $532.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.53 / $451.53 / $496.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.53 / $451.53 / $699.87
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 / $719.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $854.52