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Colorado rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $109.70 / $250.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $9.23 / $17.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $22.42 / $281.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $9.23 / $21.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $230.00 / $230.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.38