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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
$14.79 / $97.72 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $14.13 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $19.05 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $64.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $21.88