go back

Hawaii rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.40 / $212.80 / $884.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.31 / $116.95 / $779.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.40 / $138.40 / $144.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.74 / $421.74 / $675.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $122.00 / $122.00