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California rates for HCPCS A9566

Tc99m Fanolesomab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.72 / $206.72 / $1,736.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.72 / $206.72 / $206.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.81 / $306.00 / $400.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $53.60 / $130.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.81 / $794.81 / $953.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.72 / $206.72 / $296.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,250,000.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.81 / $874.29 / $1,351.18