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Maine rates for HCPCS A9551

Technetium Tc-99m Succimer Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.54 / $1,039.54 / $1,039.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.41 / $605.41 / $99,999.99
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $732.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.54 / $1,039.54 / $1,039.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $1,195.84