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Vermont rates for HCPCS A9567

Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.89 / $48.98