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Georgia rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $212.50 / $1,061.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $116.95 / $700.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.69 / $165.17 / $402.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $114.35 / $120.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.10 / $159.94 / $206.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $258.58 / $258.58
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
$129.84 / $259.68 / $274.58
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.06 / $2,208.61 / $2,606.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.83 / $278.36 / $303.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $487.35