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Georgia 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
$16.67 / $47.52 / $519.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $16.41 / $19.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $19.30 / $19.92
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
$22.66 / $45.32 / $276.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.10 / $187.74 / $204.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.74 / $39.74 / $39.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $21.60