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Massachusetts rates for HCPCS A9501

Technetium Tc-99m Sestamibi Diagnostic Per Study Dose Up To 40 Millucries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.42 / $119.42 / $162.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $119.42 / $119.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $818.35 / $941.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $108.89 / $175.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $108.89 / $108.89