go back

Utah 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
$602.56 / $3,548.13 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08