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Minnesota rates for HCPCS A9566

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.72 / $206.72 / $206.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.72 / $206.72 / $206.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $38.95 / $137.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $38.95 / $38.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.72 / $206.72 / $349.36