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Wisconsin 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
$218.71 / $833.60 / $1,209.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $221.23 / $779.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $248.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.44 / $117.87 / $165.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.99 / $386.05 / $609.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $216.68 / $246.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $123.84 / $189.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $222.00 / $655.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $739.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $382.97
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $123.84 / $273.16
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.85 / $284.76 / $397.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.99 / $638.99 / $638.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.99 / $517.50 / $739.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.44 / $160.44 / $160.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $496.46 / $496.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $616.92