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Iowa 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
$181.30 / $764.04 / $1,224.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.28 / $848.84 / $914.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.38 / $1,065.47 / $1,065.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,138.00 / $1,162.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.11 / $988.73 / $1,823.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,766.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.73 / $1,175.85 / $1,823.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.11 / $1,175.85 / $1,823.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.39 / $1,535.94 / $1,629.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $937.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.51 / $662.67 / $662.67