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Virginia rates for HCPCS A9500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.83 / $198.39 / $749.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.32 / $108.89 / $185.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $92.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.65 / $185.07 / $405.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.82 / $127.05 / $179.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.60 / $207.00 / $268.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $121.70 / $156.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $121.70 / $156.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $478.02