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Oklahoma rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.07 / $362.38 / $958.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $103.76 / $106.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.14 / $87.50 / $144.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $108.89 / $108.89
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
$103.76 / $118.29 / $541.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $450.58 / $499.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $496.85