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Pennsylvania 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
$14.33 / $160.30 / $453.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $14.33 / $27.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $10.79 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.02 / $76.58 / $123.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.95 / $147.00 / $421.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $14.33 / $27.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.28 / $245.44 / $336.76
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $28.14