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North Carolina rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.49 / $360.38 / $744.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.31 / $195.65 / $838.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.29 / $143.77 / $203.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.09 / $81.09 / $108.13
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $108.89 / $162.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.70 / $121.70 / $121.70
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,151.69 / $3,151.69 / $6,016.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.90 / $264.17 / $326.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $594.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $662.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.96 / $1,021.13 / $1,021.13