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Vermont 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
$343.45 / $343.45 / $480.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $116.95 / $182.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.82 / $328.16 / $929.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.43 / $128.43 / $128.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $109.99 / $109.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.99 / $450.58 / $1,041.02