go back

Washington, DC 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
$18.39 / $233.13 / $489.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $18.39 / $18.39
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.08 / $49.98 / $49.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $33.03