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Tennessee rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.80 / $185.47 / $821.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.31 / $106.32 / $108.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $177.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $76.30 / $81.90
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.98 / $638.99 / $662.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.96 / $739.96 / $1,021.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $450.58