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Ohio 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
$158.49 / $549.54 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,862.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $512.86 / $1,047.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,122.02 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $933.25