go back

Missouri 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
$385.00 / $611.66 / $947.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.66 / $771.67 / $1,303.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.00 / $1,022.00 / $1,357.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.30 / $697.30 / $976.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.90 / $860.90 / $860.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.40 / $929.73 / $4,203.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.27 / $883.24 / $1,272.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.58 / $883.24 / $1,015.73