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South Carolina rates for HCPCS A9500

Technetium Tc-99m Sestamibi Diagnostic Per Studydose Up To 40 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.85 / $174.19 / $852.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $106.31 / $246.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.60 / $125.00 / $177.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.62 / $226.84 / $423.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.79 / $127.05 / $165.17
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $105.04 / $140.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $450.58