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Missouri 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
$11.83 / $87.76 / $240.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $11.38 / $21.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.00 / $648.00 / $648.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.84 / $25.68 / $111.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $20.38 / $29.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.38 / $23.44