| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.54 | $95.54 | $149.47 | |
Aetna
| Professional | $95.54 | $95.54 | $119.42 | |
Anthem BCBS
| Professional | $37.68 | $50.25 | $360.00 |
Technetium Tc-99m teboroxime, diagnostic, per study dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.54 | $95.54 | $149.47 | |
Aetna
| Professional | $95.54 | $95.54 | $119.42 | |
Anthem BCBS
| Professional | $37.68 | $50.25 | $360.00 |