go back

Connecticut 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
$45.71 / $218.78 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $15.14 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $38,018.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.89 / $21.38