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Oklahoma 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 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $81.81 / $111.41