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Utah rates for HCPCS A9562

Technetium Tc-99mmertiatide Diagnostic Per Stud Y Dose Up To 15 Millilcuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.65 / $659.35 / $783.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.68 / $771.68 / $771.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $664.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $1,088.33 / $1,145.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $883.24