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Tennessee 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
$12.16 / $93.00 / $372.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $15.10 / $20.59
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.49 / $115.57 / $115.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.72 / $136.72 / $178.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $20.38 / $20.38