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Massachusetts 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 / $4.47 / $318.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $33.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.49 / $115.57 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $20.38 / $136.72
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.49 / $40.49 / $115.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $20.38 / $136.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $20.38 / $30.57