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Maine 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
$615.02 / $695.76 / $1,626.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.91 / $771.67 / $848.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.08 / $775.16 / $99,999.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $790.27 / $946.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.02 / $695.83 / $3,019.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.91 / $771.67 / $887.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,324.86