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New Jersey rates for HCPCS A9501

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.42 / $119.42 / $235.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.91 / $119.42 / $150.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $200.00