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Maine rates for HCPCS A9560

Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $95.27 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.19 / $309.19 / $309.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.26 / $95.26 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.27 / $95.27 / $95.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $95.27 / $95.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $95.27 / $114.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $95.27 / $106.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $145.00