go back

Maine rates for HCPCS A9501

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $117.60 / $119.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.25 / $50.25 / $99,999.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $108.89 / $130.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $117.60 / $119.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $108.89 / $108.89