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Arizona rates for HCPCS A9562

Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.86 / $634.74 / $980.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $771.67 / $1,303.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.17 / $544.49 / $750.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.57 / $1,517.46 / $2,403.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.94 / $706.59 / $3,422.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.35 / $929.73 / $4,203.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,916.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $883.24