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Virginia 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
$16.79 / $214.60 / $563.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $16.79 / $18.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $19.55 / $32.33
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $29.15 / $29.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $19.69 / $32.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.71 / $38.00 / $49.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $25.58