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Illinois 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
$301.42 / $684.39 / $1,606.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.66 / $771.67 / $848.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,477.19 / $7,382.05 / $13,667.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.73 / $929.73 / $929.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.36 / $495.36 / $751.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $1,087.00 / $1,312.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $989.23