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Oregon 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 / $346.74 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $112.20 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $331.13 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $407.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $229.09 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $151.36 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $537.03