| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $136.34 | $168.23 | |
Aetna
| Professional | $77.91 | $77.91 | $77.91 | |
BCBS
| Facility | $383.45 | $500.30 | $975.56 | |
Medica
| Facility | $77.91 | $77.91 | $148.03 |
Technetium Tc-99m teboroxime, diagnostic, per study dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $136.34 | $168.23 | |
Aetna
| Professional | $77.91 | $77.91 | $77.91 | |
BCBS
| Facility | $383.45 | $500.30 | $975.56 | |
Medica
| Facility | $77.91 | $77.91 | $148.03 |