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North Dakota rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.17 / $730.40 / $774.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $106.31 / $128.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.63 / $338.39 / $343.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $147.38 / $184.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.89 / $240.70 / $307.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $739.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $558.72