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Minnesota 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
$14.58 / $14.58 / $350.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $14.58 / $17.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $38.95 / $137.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.16 / $38.95 / $38.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.91 / $99.14 / $238.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $36.52 / $39.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.05 / $90.64 / $187.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $38.65 / $346.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $40.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $36.94