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Maine rates for HCPCS A9566

Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 mCi

Insurance Carrier
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 / $51.81 / $99,999.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.72 / $206.72 / $206.72