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Missouri rates for HCPCS A9501

Technetium Tc-99m teboroxime, diagnostic, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $77.91 / $77.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $77.91 / $77.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $102.48 / $121.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $100.00 / $212.69