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Utah rates for HCPCS A9560

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $93.33 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $120.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $112.20 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00