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North Carolina 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
$20.83 / $141.00 / $343.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $20.23 / $20.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.15 / $14.15 / $18.87
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $13.85 / $30.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.73 / $185.46 / $220.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $26.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.49 / $85.00 / $115.57
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.72 / $178.20 / $178.20