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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
$33.65 / $178.29 / $453.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $33.65 / $55.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.84 / $360.00
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $20.38 / $21.40