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Maryland rates for HCPCS A9567

Technetium Tc-99mpentette Diagnostic Aerosol P Er Study Dose Up To 75 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.56 / $131.35 / $599.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $18.39 / $27.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.12 / $120.12 / $120.12
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
$20.70 / $26.23 / $47.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $81.23 / $81.23