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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
$597.02 / $597.02 / $3,560.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $597.02 / $597.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $611.41 / $611.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $771.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.33 / $842.00 / $886.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.34 / $683.34 / $683.34