go back

Ohio 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
$16.76 / $97.20 / $307.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $12.42 / $32.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $19.55 / $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
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.70 / $97.62 / $161.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $26.70