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Minnesota 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
$407.83 / $703.93 / $1,173.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.82 / $644.50 / $1,368.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $661.89 / $2,035.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.45 / $575.55 / $575.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.47 / $2,714.95 / $6,531.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.90 / $1,000.12 / $1,082.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.45 / $2,482.12 / $5,142.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.38 / $852.38 / $1,065.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.55 / $879.32 / $1,235.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,742.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,589.83