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Utah 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
$106.32 / $687.48 / $1,374.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $106.32 / $300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $91.82 / $137.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $450.58