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West 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
$148.52 / $148.52 / $148.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $18.39 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $98.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.50 / $224.50 / $555.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $20.38 / $29.52