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Iowa 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
$29.68 / $36.61 / $36.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $17.10 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.57 / $31.13 / $38.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.78 / $153.63 / $156.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $30.57 / $111.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $40.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.23 / $34.29 / $48.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $34.29 / $52.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.41 / $250.52 / $265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $25.15