go back

Maine rates for HCPCS A9561

Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $53.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $125.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $72.44