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Washington, DC rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.28 / $108.89 / $1,173.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $108.89 / $200.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.55 / $270.55 / $405.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $730.29