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Virginia 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
$409.80 / $693.71 / $868.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.17 / $771.68 / $790.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.13 / $775.13 / $958.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.78 / $743.78 / $743.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.75 / $934.04 / $1,098.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.71 / $929.73 / $1,269.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.16 / $1,357.00 / $1,867.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.24 / $883.24 / $937.12