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Rhode Island rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.68 / $389.41 / $723.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $106.31 / $108.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.29 / $115.29 / $115.29
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $450.58