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Pennsylvania 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
$429.71 / $611.41 / $823.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $611.41 / $611.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.84 / $683.34 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $683.34
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.54 / $151.54 / $263.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.60 / $751.11 / $788.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.38 / $611.41 / $874.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $611.41 / $776.49
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.33 / $683.33 / $751.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.33 / $683.33 / $751.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $943.69