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Ohio 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 / $357.89 / $539.54
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
$0.02 / $51.81 / $118.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00