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Massachusetts 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
$438.48 / $790.26 / $1,321.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.54 / $790.27 / $790.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.98 / $1,827.94 / $2,162.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.65 / $883.24 / $1,700.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.82 / $2,101.23 / $3,870.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.23 / $853.23 / $853.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.65 / $990.11 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.08 / $877.31 / $1,269.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $790.27 / $1,274.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.17 / $1,526.17 / $4,357.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $883.24 / $4,860.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $883.24 / $1,324.86