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Oklahoma 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
$388.08 / $510.82 / $1,101.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.56 / $490.51 / $775.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.56 / $526.19 / $1,526.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $1,056.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $936.23