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New Jersey rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.26 / $122.50 / $482.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $106.32 / $108.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $242.63 / $242.63
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.89 / $455.33 / $2,444.26
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.53 / $124.53 / $129.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.45 / $95.82 / $109.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $134.66 / $134.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $84.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $468.78