go back

Indiana 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
$631.91 / $699.45 / $1,305.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.14 / $659.87 / $771.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.68 / $1,615.68 / $3,118.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.19 / $1,615.68 / $2,181.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.05 / $920.80 / $1,062.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.31 / $885.39 / $1,062.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,104.49