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South Carolina 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
$65.81 / $250.16 / $929.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $16.28 / $20.23
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
$0.33 / $1.02 / $22.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $22.42