go back

New Mexico rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $323.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $117.49 / $165.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $114.82 / $229.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68