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Missouri 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 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,445.44 / $2,290.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $549.54 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $851.14 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $660.69 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $676.08 / $724.44