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Missouri rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $301.27 / $751.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $106.31 / $391.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.39 / $92.39 / $92.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $554.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $96.08 / $128.10
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $184.34 / $638.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.99 / $450.58 / $649.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.57 / $450.58 / $521.32