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Oklahoma rates for HCPCS A9567

Technetium Tc-99mpentette Diagnostic Aerosol P Er Study Dose Up To 75 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $12.87 / $21.80
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
$12.87 / $13.71 / $111.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $25.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $21.60