| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $77.91 | $77.91 | |
Aetna
| Professional | $77.91 | $77.91 | $77.91 | |
Anthem BCBS
| Professional | $102.48 | $102.48 | $121.70 | |
Medica
| Facility | $77.91 | $100.00 | $212.69 |
Technetium Tc-99m teboroxime, diagnostic, per study dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $77.91 | $77.91 | |
Aetna
| Professional | $77.91 | $77.91 | $77.91 | |
Anthem BCBS
| Professional | $102.48 | $102.48 | $121.70 | |
Medica
| Facility | $77.91 | $100.00 | $212.69 |