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Kentucky 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
$3.40 / $11.56 / $69.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $11.93 / $16.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $648.00 / $648.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.87 / $17.87 / $17.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $98.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.38