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South Carolina 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
$66.07 / $251.19 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $15.85 / $19.95
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $17.78 / $22.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $21.88