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Arkansas rates for HCPCS A9500

Technetium Tc-99m sestamibi, diagnostic, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.06 / $240.00 / $806.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.31 / $108.89 / $124.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $128.19 / $145.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $37.29 / $37.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.86 / $158.86 / $158.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.80 / $109.99 / $109.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.30 / $140.30 / $147.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.52 / $450.58 / $459.59